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1043901390
PAYTON HUNTER LACK
GREENSBORO, GA
NPI
1043901390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: GA AUD004368)
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
PAYTON HUNTER LACK AuD
1051 PARKSIDE CMNS STE 103
GREENSBORO, GA 30642-4517
Phone number: 706-623-4425
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Mailing Address
PAYTON HUNTER LACK AuD
1051 PARKSIDE CMNS STE 103
GREENSBORO, GA 30642-4517
Phone number: 706-623-4425
Copy
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