ProviderBusinessMailingAddressFaxNumber = '4782180839'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1427054923
VAUGHN
CANDACE
FREDERICK
3495 PIEDMONT ROAD, NE
ATLANTA
GA
30305
1922006444
WATTS
EDNA
R
PO BOX 189
KATHLEEN
GA
310470189
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