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1437584414
IRA J PROCTOR
BLYTHEVILLE, AR
NPI
1437584414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- IRA J PROCTOR MHPP
634 W MAIN ST
BLYTHEVILLE, AR 72315-3336
Phone number: 870-780-6986
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Mailing Address
-- IRA J PROCTOR MHPP
634 W MAIN ST
BLYTHEVILLE, AR 72315-3336
Phone number: 870-780-6986
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