ProviderBusinessMailingAddressFaxNumber = '3373126707'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1770081721
HARDY
VANESSA
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES
LA
706015724
1679071161
NIX
ASHLEY
A
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES
LA
706015724
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