Individual
MRS. LINDA LOU PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1278 OLD US 40 HWY, ODESSA, MO 64076
(816) 633-5921
(816) 633-7942
Mailing address
1416 OO HWY, ODESSA, MO 64076-6440
(816) 565-3384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2000146034
MO
Other
Enumeration date
08/10/2011
Last updated
08/27/2014
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