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1144802505
ANNETTE ANDERSON PROCTOR
PROVO, UT
NPI
1144802505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 2620503501)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
Mrs. ANNETTE ANDERSON PROCTOR
395 W COUGAR BLVD STE 105
PROVO, UT 84604-3311
Phone number: 801-357-8586
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Mailing Address
Mrs. ANNETTE ANDERSON PROCTOR
395 W COUGAR BLVD STE 105
PROVO, UT 84604-3311
Phone number: 801-357-8586
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