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1962691725
MARTHA PAYNE
SAN JOSE, CA
NPI
1962691725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 605598)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- MARTHA PAYNE
55 E JULIAN ST
SAN JOSE, CA 95112-4007
Phone number: 408-918-2600
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Mailing Address
-- MARTHA PAYNE
100 PASITO TER APT 121
SUNNYVALE, CA 94086-4857
Phone number: 515-749-0104
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