Ivory V Payne

NPI #1568847150 in Tulsa, Oklahoma

Provider Information

NPI Number
1568847150
Entity Type
Individual
Name
Ivory V Payne
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Jul 23, 2015
Last Updated
Jul 23, 2015

Practice Location

Address
6333 E SKELLY DR
City
Tulsa
ZIP Code
74135-6106
Phone
(405) 675-0945

Specialties & Taxonomy Codes

Specialty
Technician, Other

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