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1497905541
ANDREW MARTIN PROCTOR
LAKE VIEW TERRACE, CA
NPI
1497905541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-25
Last Update Date
2009-01-27
Business Address
-- ANDREW MARTIN PROCTOR
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
-- ANDREW MARTIN PROCTOR
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
Copy
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