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1811323066
BIANCA TAYNE PAYNE
VALLEJO, CA
NPI
1811323066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
-- BIANCA TAYNE PAYNE N/A
408 TENNESSE ST
VALLEJO, CA 94591
Phone number: 707-554-2397
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Mailing Address
-- BIANCA TAYNE PAYNE N/A
2218 SILVERFOX CIRCLE
FAIRFIELD, CA 94534
Phone number: 510-938-1968
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