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Individual

MISS AUDREY ELIZABETH PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
615 OCEAN ST, SANTA CRUZ, CA 95060-4005
(831) 425-7991
(831) 425-7346
Mailing address
615 OCEAN ST, SANTA CRUZ, CA 95060-4005
(831) 425-7991
(831) 425-7346

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53891
CA

Other

Enumeration date
07/04/2016
Last updated
09/10/2018
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