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1386181915
LARRY D. PROCTOR
RUSTON, LA
NPI
1386181915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-20
Last Update Date
2017-01-20
Business Address
Dr. LARRY D. PROCTOR
978 BARNETT SPRINGS ST.
RUSTON, LA 71270
Phone number: 318-436-1862
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Mailing Address
Dr. LARRY D. PROCTOR
978 S BARNETT SPRINGS ST
RUSTON, LA 71270-9015
Phone number: 318-436-1862
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