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Individual

MRS. BONNIE SUE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
29811 SANTA MARGARITA PKWY STE 600, RANCHO SANTA MARGARITA, CA 92688-3617
(949) 600-5437
Mailing address
6659 DARKWOOD DR, RIVERSIDE, CA 92506-6519
(951) 203-0915

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7533
CA

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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