ProviderBusinessMailingAddressFaxNumber = '3374158104'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1598706319
W O MOSS REGIONAL MEDICAL CENTER
1000 WALTERS ST
LAKE CHARLES
LA
706074647
1841328549
W.O. MOSS REGIONAL MEDICAL CENTER
1000 WALTERS ST
LAKE CHARLES
LA
706074647
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