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Diana Payne, BCTMB

NPI 1295126811 · on the registry since 2015

Practice

Address
4225 Thomas Ave N
Minneapolis, MN 55412
Phone
(612) 414-5857

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota