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1548960057
PAYTON C. PROUD
CORALVILLE, IA
NPI
1548960057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IA 112599)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
PAYTON C. PROUD
2350 OAKDALE BLVD
CORALVILLE, IA 52241-9702
Phone number: 319-351-5437
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Mailing Address
PAYTON C. PROUD
5406 MERLE HAY RD
JOHNSTON, IA 50131-1209
Phone number: 515-727-8750
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