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1841284163
TRENT LYLE PAYNE
WHITEMAN AFB, MO
NPI
1841284163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15260)
Enumeration Date
2005-08-31
Last Update Date
2007-07-08
Business Address
-- TRENT LYLE PAYNE DDS
331 SIJEN AVE
WHITEMAN AFB, MO 65305-1269
Phone number: 660-687-2201
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Mailing Address
-- TRENT LYLE PAYNE DDS
1603 AMHEARST ST
WARRENSBURG, MO 64093-2983
Phone number: 660-747-6066
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