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1144950098
REAGAN ELIZABETH PAYNE
FAYETTEVILLE, AR
NPI
1144950098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AR PA-1246)
Enumeration Date
2022-06-14
Last Update Date
2024-10-14
Business Address
REAGAN ELIZABETH PAYNE
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-2752
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Mailing Address
REAGAN ELIZABETH PAYNE
6077 PRIMACY PKWY STE 140
MEMPHIS, TN 38119-5754
Phone number: 901-725-8347
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