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1730680745
KIONNA LASHAUN PAYNE
GRAND RAPIDS, MI
NPI
1730680745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703105261)
Enumeration Date
2018-02-24
Last Update Date
2018-02-24
Business Address
KIONNA LASHAUN PAYNE LPN
125 FAIR ST SE
GRAND RAPIDS, MI 49507-1749
Phone number: 773-946-6153
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Mailing Address
KIONNA LASHAUN PAYNE LPN
125 FAIR ST SE
GRAND RAPIDS, MI 49507-1749
Phone number: 773-946-6153
Copy
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