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1316071145
JOHN C PAYNE
JACKSON, WY
NPI
1316071145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: WY 6651A)
Enumeration Date
2007-03-15
Last Update Date
2021-01-18
Business Address
JOHN C PAYNE D.O.
555 E BROADWAY AVE STE 211
JACKSON, WY 83001-8640
Phone number: 307-739-7618
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Mailing Address
JOHN C PAYNE D.O.
PO BOX 428
JACKSON, WY 83001-0428
Phone number: 307-739-7618
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