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Organization
PAYNE CLINICS LLC
Active
Organization
PAYNE CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYAN PAYNE DC (OWNER)
(907) 376-8020
Entity
Organization
Contact information
Practice address
436 N MAIN ST, WASILLA, AK 99654-7018
(907) 376-8020
Mailing address
436 N MAIN ST, WASILLA, AK 99654-7018
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
295
AK
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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