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1205059425
TRACEY L PROCTOR
LA CROSSE, WI
NPI
1205059425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 7500-120)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Mrs. TRACEY L PROCTOR Bachelor of Arts
1407 SAINT ANDREW ST SUITE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-5908
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Mailing Address
Mrs. TRACEY L PROCTOR Bachelor of Arts
W7855 BROADMOOR PARK DR
HOLMEN, WI 54636-8402
Phone number: 608-526-4450
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