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1114143419
LISA PROCTOR
ITHACA, NY
NPI
1114143419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY F430338)
Enumeration Date
2007-04-17
Last Update Date
2011-02-21
Business Address
-- LISA PROCTOR NP
310 TAUGHANNOCK BLVD
ITHACA, NY 14850-3251
Phone number: 607-252-3590
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Mailing Address
-- LISA PROCTOR NP
110 VANWOERT RD
SPENCER, NY 14883-9721
Phone number: 607-589-6826
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