Individual
ABRA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
705 OLD 63 S, COLUMBIA, MO 65201-6065
(573) 823-8986
(573) 442-3538
Mailing address
705 OLD 63 S, COLUMBIA, MO 65201-6065
(573) 823-8986
(573) 442-3538
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2000170576
MO
172A00000X
Driver
2000170576
MO
374700000X
Technician
Primary
2000170576
MO
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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