ProviderBusinessMailingAddressFaxNumber = '3044877900'
NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1104286913MOSESJESSICA  122 12TH STREET EXTPRINCETONWV247402352
1184795197ROOTCAROLJEAN 12TH STREETPRINCETONWV24740
1386611127SHAYDONNARUTH 122 12TH STREET EXTENSIONPRINCETONWV247402272

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