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1144211947
DERRICK D. PAYNE
MEMPHIS, TN
NPI
1144211947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS7858)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Dr. DERRICK D. PAYNE DDS
4466 ELVIS PRESLEY BLVD 241
MEMPHIS, TN 38116-7180
Phone number: 901-396-7097
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Mailing Address
Dr. DERRICK D. PAYNE DDS
4466 ELVIS PRESLEY BLVD 241
MEMPHIS, TN 38116-7180
Phone number: 901-396-7097
Copy
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