IRA J PROCTOR

BLYTHEVILLE, AR
NPI1437584414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-09
Last Update Date2013-09-09
Business Address
-- IRA J PROCTOR MHPP
634 W MAIN ST
BLYTHEVILLE, AR 72315-3336
Phone number: 870-780-6986
Mailing Address
-- IRA J PROCTOR MHPP
634 W MAIN ST
BLYTHEVILLE, AR 72315-3336
Phone number: 870-780-6986
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