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1336545391
LORI PAYNE
O FALLON, MO
NPI
1336545391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2010022198)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- LORI PAYNE
5551 WINGHAVEN BLVD SUITE 240
O FALLON, MO 63368-3617
Phone number: 636-561-5561
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Mailing Address
-- LORI PAYNE
5551 WINGHAVEN BLVD SUITE 240
O FALLON, MO 63368-3617
Phone number: 636-561-5561
Copy
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