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1275284853
DAVID LOREN PROCTOR
INDIO, CA
NPI
1275284853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1264660917)
Enumeration Date
2022-01-14
Last Update Date
2022-06-02
Business Address
MR. DAVID LOREN PROCTOR RDAT
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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Mailing Address
MR. DAVID LOREN PROCTOR RDAT
78685 ROCKWELL CIR
PALM DESERT, CA 92211-1977
Phone number: 949-370-4047
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