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1851856181
CARLOS PROCTOR
CONCORD, NC
NPI
1851856181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC a14801)
Enumeration Date
2019-01-31
Last Update Date
2019-06-10
Business Address
CARLOS PROCTOR MAMAFT
2324 CONCORD LAKE RD
CONCORD, NC 28025-2814
Phone number: 704-918-1343
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Mailing Address
CARLOS PROCTOR MAMAFT
2324 CONCORD LAKE RD
CONCORD, NC 28025-2814
Phone number:
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