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1366897266
FREDERICKO PAYNE
FARMERVILLE, LA
NPI
1366897266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-28
Last Update Date
2023-10-31
Business Address
FREDERICKO PAYNE
1117 MARION HWY
FARMERVILLE, LA 71241-9313
Phone number: 318-368-2300
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Mailing Address
FREDERICKO PAYNE
1117 MARION HWY
FARMERVILLE, LA 71241-9313
Phone number: 318-368-2300
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