ProviderBusinessMailingAddressFaxNumber = '4199326779'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1891229795
IPS ASC, LLC
7071 W CENTRAL AVE
TOLEDO
OH
436172700
1790049229
ESCOBAR
ALEXANDER
7071 W CENTRAL AVE
TOLEDO
OH
436172700
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