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1407178171
MICHAEL RAY PAYNE
JACKSON, TN
NPI
1407178171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN SP2899)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
Mr. MICHAEL RAY PAYNE M.S. CCC-SLP
25 MAX LANE DR
JACKSON, TN 38305-2815
Phone number: 731-541-6572
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Mailing Address
Mr. MICHAEL RAY PAYNE M.S. CCC-SLP
25 MAX LANE DR
JACKSON, TN 38305-2815
Phone number: 731-541-6572
Copy
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