Individual
ALICIA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 FEATHERSTONE RD APT #285, OKLAHOMA, OK 73120
(405) 921-4365
Mailing address
2609 FEATHERSTONE RD APT 285, OKLAHOMA CITY, OK 73120-2111
(405) 921-4365
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
R080769259
OK
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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