ProviderBusinessMailingAddressFaxNumber = '4197473504'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1750864104 | BOYD | MALISSA | FAY | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
| 1386155414 | BUSSERT | MICHAEL | EARL | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
| 1871000315 | CLOSE | AMY | BETH | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
| 1053852855 | DEEB | MYCHAL | | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
| 1881154391 | HAVERFIELD | CONNOR | LEE | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
| 1194221382 | MCKENZIE | GARY | PAUL | | 2775 STATE ROUTE 39 | SHELBY | OH | 448759466 |
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