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1679349740
JACOB LEE PROCTOR
RALEIGH, NC
NPI
1679349740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11704)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
JACOB LEE PROCTOR PT
421 VAN THOMAS DR
RALEIGH, NC 27615-5232
Phone number: 919-424-5080
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Mailing Address
JACOB LEE PROCTOR PT
1000 WILTON RD
NEW IBERIA, LA 70560-8534
Phone number: 337-967-9980
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