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1962638452
JOHNNY PHILLIP PAYNE
MEDFORD, OR
NPI
1962638452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 201250098NP)
Enumeration Date
2009-06-10
Last Update Date
2024-03-04
Business Address
Mr. JOHNNY PHILLIP PAYNE FNP DNP
2655 SISKIYOU BLVD
MEDFORD, OR 97504-8125
Phone number: 541-304-8008
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Mailing Address
Mr. JOHNNY PHILLIP PAYNE FNP DNP
2655 SISKIYOU BLVD
MEDFORD, OR 97504-8125
Phone number: 541-304-8008
Copy
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