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1083958870
COURTNEY PROCTOR
COSTA MESA, CA
NPI
1083958870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: CA 22352)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
COURTNEY PROCTOR
601 W 19TH ST
COSTA MESA, CA 92627-5060
Phone number: 714-922-4100
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Mailing Address
COURTNEY PROCTOR
601 WEST 19TH ST
COSTA MESA, CA 92627
Phone number:
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