Individual
GINA E PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 CEDAR LAKE RD S, ST LOUIS PARK, MN 55426-2725
(952) 252-2502
Mailing address
7200 CEDAR LAKE RD S, ST LOUIS PARK, MN 55426-2725
(952) 252-2502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119557
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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