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1083705909
THERESA MARIE PAYNE
RIVERSIDE, CA
NPI
1083705909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP13322)
Enumeration Date
2006-09-27
Last Update Date
2012-05-22
Business Address
-- THERESA MARIE PAYNE NP
3660 PARK SIERRA DR SUITE 208
RIVERSIDE, CA 92505-3059
Phone number: 951-687-2800
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Mailing Address
-- THERESA MARIE PAYNE NP
PO BOX 54130
LOS ANGELES, CA 90054-0130
Phone number: 951-687-3200
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