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1811135551
TERESE C. PROCTOR
HUNTINGTON BEACH, CA
NPI
1811135551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 11110)
Enumeration Date
2009-02-03
Last Update Date
2010-12-24
Business Address
Mrs. TERESE C. PROCTOR RD
18141 BEACH BLVD STE 385
HUNTINGTON BEACH, CA 92648-8605
Phone number: 714-749-0858
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Mailing Address
Mrs. TERESE C. PROCTOR RD
606 15TH ST
HUNTINGTON BEACH, CA 92648-4048
Phone number: 714-960-0187
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