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1184285603
SIDNEY PROCTOR
LITTLE ROCK, AR
NPI
1184285603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
SIDNEY PROCTOR
11700 KANIS RD STE 2
LITTLE ROCK, AR 72211-3794
Phone number: 501-221-1941
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Mailing Address
SIDNEY PROCTOR
11700 KANIS RD STE 2
LITTLE ROCK, AR 72211-3794
Phone number: 501-221-1941
Copy
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