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1922203603
JONATHAN EDWARD PAYNE
SANTA CRUZ, CA
NPI
1922203603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- JONATHAN EDWARD PAYNE
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-763-8695
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Mailing Address
-- JONATHAN EDWARD PAYNE
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-763-8695
Copy
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