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1942069000
MICKI JO PAYNE
SAN DIEGO, CA
NPI
1942069000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
MICKI JO PAYNE
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
MICKI JO PAYNE
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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