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Individual
ARCHIE A PAYNE
Active
Individual
ARCHIE A PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190166
—
SC
Enumeration date
04/02/2007
Last updated
07/08/2007
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