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1629665120
BETHANY IRENE PAYNE
CHARLOTTESVILLE, VA
NPI
1629665120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: VA 0024180276)
Enumeration Date
2020-12-30
Last Update Date
2021-07-29
Business Address
BETHANY IRENE PAYNE
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-294-0911
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Mailing Address
BETHANY IRENE PAYNE
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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