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1306691373
JOSH PAYNE
GREEN BAY, WI
NPI
1306691373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2545-19)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
JOSH PAYNE PTA
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-932-6006
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Mailing Address
JOSH PAYNE PTA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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