ProviderBusinessMailingAddressFaxNumber = '2082984521'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1538242318
CARLISLE
JOHN
W
 
2315 8TH ST
LEWISTON
ID
835017301
1184707903
STOUTIN
SHERRY
D
 
2315 8TH ST
LEWISTON
ID
835017301
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