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Individual

MRS. AMY JO PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Mailing address
HWY 75/77, PO BOX HH, WINNEBAGO, NE 68071
(605) 232-3412

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001795
IA
363AM0700X
Medical Physician Assistant
1319
NE

Other

Enumeration date
03/23/2007
Last updated
06/14/2021
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