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1497766927
STACY L. PAYNE
JACKSONVILLE, FL
NPI
1497766927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: FL AY792)
Enumeration Date
2006-08-10
Last Update Date
2011-09-21
Business Address
Ms. STACY L. PAYNE CCC-A
807 CHILDRENS WAY
JACKSONVILLE, FL 32207-8426
Phone number: 904-390-3690
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Mailing Address
Ms. STACY L. PAYNE CCC-A
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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