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1861079840
ILIET PAYAN
CLINTON, NC
NPI
1861079840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC rtl-21-1026)
Enumeration Date
2021-03-26
Last Update Date
2021-07-06
Business Address
ILIET PAYAN DO
607 BEAMAN ST
CLINTON, NC 28328-2603
Phone number: 910-596-5421
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Mailing Address
ILIET PAYAN DO
607 BEAMAN ST
CLINTON, NC 28328-2603
Phone number:
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