ProviderBusinessMailingAddressFaxNumber = '4357896300'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1922773019
SCOTT
ALLISON
1140 W 500 S
VERNAL
UT
840782914
1093019960
WILSON
AMY
LYNNE
1140 W 500 S STE 9
VERNAL
UT
840782912
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