Individual
MRS. DEBORAH SUE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8631 W 194TH TER, STILWELL, KS 66085-8204
(913) 681-2046
(913) 681-2046
Mailing address
8631 W 194TH TER, STILWELL, KS 66085-8204
(913) 681-2046
(913) 681-2046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17-00694
KS
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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