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Individual

BOBBY EUGENE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1153 TREVINO DR NE, ROANOKE, VA 24019
(540) 986-8327

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001186915
VA

Other

Enumeration date
12/11/2019
Last updated
12/11/2019
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