Individual
JILL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 LUDLOW RD, BELLEFONTAINE, OH 43311-1852
(937) 593-9060
Mailing address
820 LUDLOW RD, BELLEFONTAINE, OH 43311-1852
(937) 593-9060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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