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1871945907
HALEY PAYNE
BELLEVILLE, IL
NPI
1871945907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.004044)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- HALEY PAYNE ATC, LAT
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6000
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Mailing Address
-- HALEY PAYNE ATC, LAT
806 SIMPSON ST
POCAHONTAS, IL 62275-2203
Phone number: 815-370-7045
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