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1023902533
SAMUEL DUSTIN PAYNE
IDAHO FALLS, ID
NPI
1023902533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2025-06-07
Last Update Date
2025-06-07
Business Address
SAMUEL DUSTIN PAYNE
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404-6400
Phone number: 208-497-0685
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Mailing Address
SAMUEL DUSTIN PAYNE
555 W MIKAN DR APT 12202
REXBURG, ID 83440-8056
Phone number: 208-760-5688
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