TRACI MICHELLE PAYNE

COUNCIL BLUFFS, IA
NPI1336383207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IA  03217)
Enumeration Date2009-04-23
Last Update Date2009-04-23
Business Address
-- TRACI MICHELLE PAYNE RDH
300 W BROADWAY SUITE 6
COUNCIL BLUFFS, IA 51503-9078
Phone number: 712-256-9151
Mailing Address
-- TRACI MICHELLE PAYNE RDH
300 W BROADWAY SUITE 6
COUNCIL BLUFFS, IA 51503-9078
Phone number: 712-256-9151
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