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1417238049
SUSANNA S PAYNE
RICHMOND, VA
NPI
1417238049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024169572)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- SUSANNA S PAYNE N.P.
1250 E MARSHALL ST
RICHMOND, VA 23298-5051
Phone number: 804-828-4624
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Mailing Address
-- SUSANNA S PAYNE N.P.
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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