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1063472173
CARLA RAE PROCTOR
PUEBLO, CO
NPI
1063472173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CO 27054)
Enumeration Date
2006-03-23
Last Update Date
2013-04-15
Business Address
Miss CARLA RAE PROCTOR M.D.
3676 PARKER BLVD
PUEBLO, CO 81008-2212
Phone number: 719-553-2204
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Mailing Address
Miss CARLA RAE PROCTOR M.D.
PO BOX 9000
PUEBLO, CO 81008-9000
Phone number: 719-553-2200
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