Individual
MS. DEADRA C PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-6256
(740) 852-6395
Mailing address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-6256
(740) 852-6395
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN 374630
OH
Other
Enumeration date
07/18/2013
Last updated
07/19/2013
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