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1679732143
LARRY W. PAYNE
PETALUMA, CA
NPI
1679732143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- LARRY W. PAYNE Health Services Tech
599 TOMALES RD
PETALUMA, CA 94952-5002
Phone number: 707-765-7275
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Mailing Address
-- LARRY W. PAYNE Health Services Tech
599 TOMALES RD
PETALUMA, CA 94952-5002
Phone number: 707-765-7275
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