Individual
DEBORAH PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 N 105TH ST, MILWAUKEE, WI 53225-3918
(262) 349-5276
Mailing address
4915 N 105TH ST, MILWAUKEE, WI 53225-3918
(262) 349-5276
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P350-1608-8928-07
WI
Other
Enumeration date
01/15/2024
Last updated
01/19/2024
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