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Individual

MARGARET PROROK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4502 230TH ST, WALLINGFORD, IA 51365-7539
(712) 362-5231
Mailing address
PO BOX 515, ESTHERVILLE, IA 51334-0515
(712) 362-5231
(712) 362-2433

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/02/2010
Last updated
12/02/2010
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