ProviderBusinessMailingAddressFaxNumber = '3605155783'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386011096 | BROOLING | BROOKE | | | 8282 28TH CT NE | LACEY | WA | 985167162 |
| 1649649880 | COLE | KATIE | | | 8282 28TH CT NE, SUITE A | LACEY | WA | 98516 |
| 1457714966 | INGRAM | ELLEN | | | 8282 28TH CT NE | LACEY | WA | 985167162 |
| 1578978680 | MENDOZA | MADISON | | | 8282 28TH CT NE STE A | LACEY | WA | 98516 |
| 1508230103 | RAUGHLEY | JAMES | JOSHUA | | 8282 28TH CT NE | LACEY | WA | 985167162 |
| 1902347776 | STURGILL | MICHAEL | | | 8282 28TH CT NE | LACEY | WA | 985167162 |
| 1770074874 | ZALDIVAR-TORRES | SULEMMA | | | 8282 28TH CT NE STE A | LACEY | WA | 985167162 |
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