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1568648822
DIANA M PROCTOR
FREDERICKSBURG, VA
NPI
1568648822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024167767)
Enumeration Date
2008-01-17
Last Update Date
2017-10-28
Business Address
DIANA M PROCTOR CRNA
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 540-741-7614
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Mailing Address
DIANA M PROCTOR CRNA
3100 SPRING FOREST RD STE 130
RALEIGH, NC 27616-2880
Phone number: 888-280-9533
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