MICHAEL PROCTOR

MONROE, LA
NPI1710144902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  204759)
Enumeration Date2008-05-16
Last Update Date2016-10-06
Business Address
-- MICHAEL PROCTOR
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-333-0703
Mailing Address
-- MICHAEL PROCTOR
2015 ROSEDOWN DR
MONROE, LA 71201-3084
Phone number: 318-355-8874
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