ProviderBusinessMailingAddressFaxNumber = '5092328392'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1497752091
PROVIDENCE HEALTH & SERVICES- WASHINGTON
PO BOX 131
LIBERTY LAKE
WA
990190131
1265514434
PAYNE
LAURIE
ELLEN
PO BOX 469
SPOKANE
WA
992100469
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