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1205505724
RUSSELL BERRY PAYNE
MANCHESTER, NH
NPI
1205505724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NH 065287-23)
Enumeration Date
2021-09-08
Last Update Date
2023-02-03
Business Address
RUSSELL BERRY PAYNE APRN
88 MCGREGOR ST STE 105
MANCHESTER, NH 03102-3732
Phone number: 603-663-6252
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Mailing Address
RUSSELL BERRY PAYNE APRN
30 TRENT RD
HOOKSETT, NH 03106-1709
Phone number: 603-210-1703
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