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Individual

DAMIEN A PAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6201 BELLEFONTAINE AVE, KANSAS CITY, MO 64130-3954
(913) 667-0600
(816) 800-9219
Mailing address
6201 BELLEFONTAINE AVE, KANSAS CITY, MO 64130-3954
(913) 667-0600
(816) 800-9219

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S116188044
MO

Other

Enumeration date
10/17/2022
Last updated
10/18/2022
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