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Dewayne Proctor
NPI 1740329259 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1101 Smith Ave
Cleveland, MS 38732 - Phone
- (662) 588-5283
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi