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1659867596
BRIAN LOWELL PROCTOR
COLUMBIA, MO
NPI
1659867596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2018020641)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
BRIAN LOWELL PROCTOR DO
404 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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Mailing Address
BRIAN LOWELL PROCTOR DO
400 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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