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1194222711
CHAD PROCTOR
CEDAR RAPIDS, IA
NPI
1194222711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A108024)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
CHAD PROCTOR
701 10TH ST SE
CEDAR RAPIDS, IA 52403-1251
Phone number: 319-398-6011
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Mailing Address
CHAD PROCTOR
701 10TH ST SE
CEDAR RAPIDS, IA 52403-1251
Phone number:
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