ProviderBusinessMailingAddressFaxNumber = '3109007367'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1215356688
LACROIX
STEPHANIE
DIANE
3628 E IMPERIAL HWY STE 301
LYNWOOD
CA
902622646
1992102842
RUIZ- BARNES
NANCY
3628 E. IMPERIAL HIGHWAY
LYNWOOD
CA
90262
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