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1215334560
E JEAN PROCTOR
CASPER, WY
NPI
1215334560
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Former Name
EULA JEAN IRBY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-12-02
Last Update Date
2015-05-29
Business Address
-- E JEAN PROCTOR PA-C
940 E 3RD ST STE 103
CASPER, WY 82601-3200
Phone number: 307-439-2031
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Mailing Address
-- E JEAN PROCTOR PA-C
940 E 3RD ST STE 103
CASPER, WY 82601-3200
Phone number: 307-439-2031
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