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1346340361
JULIE A PROCTOR
GRESHAM, OR
NPI
1346340361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200650016NP)
Enumeration Date
2006-09-22
Last Update Date
2019-11-12
Business Address
Ms. JULIE A PROCTOR FNP-BC
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1122
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Mailing Address
Ms. JULIE A PROCTOR FNP-BC
4233 SE 182ND AVE STE 362
GRESHAM, OR 97030-5082
Phone number: 503-807-8006
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