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1164039871
MARIAH PROCTOR
COLUMBIA, MO
NPI
1164039871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-09-26
Last Update Date
2020-09-26
Business Address
MARIAH PROCTOR
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202-3948
Phone number: 573-814-8528
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Mailing Address
MARIAH PROCTOR
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202-3948
Phone number: 573-814-8528
Copy
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