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1487101879
CLETUS PAYNE
TOLEDO, OH
NPI
1487101879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.019586)
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
-- CLETUS PAYNE CNP
4405 N. HOLLAND SYLVANIA RD.
TOLEDO, OH 43623
Phone number: 419-517-0146
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Mailing Address
-- CLETUS PAYNE CNP
PO BOX 164
LUCKEY, OH 43443
Phone number: 419-309-1970
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