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1649537119
DAVID WAYNE PROEFROCK
MARTINEZ, GA
NPI
1649537119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 759)
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
Dr. DAVID WAYNE PROEFROCK PhD
4684 OAKLEY PIRKLE RD
MARTINEZ, GA 30907-8853
Phone number: 706-863-4534
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Mailing Address
Dr. DAVID WAYNE PROEFROCK PhD
4684 OAKLEY PIRKLE RD
MARTINEZ, GA 30907-8853
Phone number: 706-863-4534
Copy
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