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1245682194
AUDREY ELIZABETH PAYNE
SANTA CRUZ, CA
NPI
1245682194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53891)
Enumeration Date
2016-07-04
Last Update Date
2018-09-10
Business Address
MISS AUDREY ELIZABETH PAYNE
615 OCEAN ST
SANTA CRUZ, CA 95060-4005
Phone number: 831-425-7991
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Mailing Address
MISS AUDREY ELIZABETH PAYNE
615 OCEAN ST
SANTA CRUZ, CA 95060-4005
Phone number: 831-425-7991
Copy
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