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Individual

MRS. GLENDALEE P PAYNE-DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7071 SOUTHERN VISTA DR, ENON, OH 45323-1547
(937) 864-7360
Mailing address
7071 SOUTHERN VISTA DR, ENON, OH 45323-1547
(937) 864-7360

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
212200
OH

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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