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1649580317
SCOTT RICHARD PAYNE
GILBERT, AZ
NPI
1649580317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC- 10360)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mr. SCOTT RICHARD PAYNE LISAC
1400 N. GILBERT RD. SUITE: P
GILBERT, AZ 85234
Phone number: 480-528-5606
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Mailing Address
Mr. SCOTT RICHARD PAYNE LISAC
1400 N. GILBERT RD. SUITE: P
GILBERT, AZ 85234
Phone number: 480-528-5606
Copy
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