Individual
RANDALL L PAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 LAKEVIEW DR, WORDEN, IL 62097-1282
(618) 459-7142
Mailing address
5 LAKEVIEW DR, WORDEN, IL 62097-1282
(618) 459-7142
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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