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1205129582
JOE BENJAMIN PROCTOR
NEW IBERIA, LA
NPI
1205129582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA MD.205496)
Enumeration Date
2011-05-19
Last Update Date
2016-04-20
Business Address
-- JOE BENJAMIN PROCTOR M.D.
520 N LEWIS ST STE 204
NEW IBERIA, LA 70563-2094
Phone number: 337-364-0408
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Mailing Address
-- JOE BENJAMIN PROCTOR M.D.
PO BOX 13338
NEW IBERIA, LA 70562-3338
Phone number: 337-364-0408
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