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1821514282
TIANA PROCTOR
ANNAPOLIS, MD
NPI
1821514282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R145967)
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
TIANA PROCTOR
2601 RIVA RD
ANNAPOLIS, MD 21401-7304
Phone number: 410-571-2090
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Mailing Address
TIANA PROCTOR
1526 BRYAN CT
WALDORF, MD 20602-1603
Phone number: 240-229-1861
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