ProviderBusinessMailingAddressFaxNumber = '3187096201'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1427695139
CROCKER
KIMBERLY
109 YORKTOWN DR STE A
ALEXANDRIA
LA
713033673
1053839308
OWEN
BAILEY
DANNIELLE
3921 INDEPENDENCE DR STE 104
ALEXANDRIA
LA
713033566
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