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1922134055
ELAINE RAE PAYNE
TAMPA, FL
NPI
1922134055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL MA30534)
Enumeration Date
2007-02-25
Last Update Date
2007-07-08
Business Address
-- ELAINE RAE PAYNE LMT, PTA
1511 E FOWLER AVE STE K
TAMPA, FL 33612-5400
Phone number: 813-903-1088
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Mailing Address
-- ELAINE RAE PAYNE LMT, PTA
10406 N 62ND ST
TAMPA, FL 33617-3702
Phone number:
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