ProviderBusinessMailingAddressFaxNumber = '5092494460'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1437592573
CROUTHAMEL
BONNIE
CATHERINE
PO BOX 9787
YAKIMA
WA
989090787
1851702641
JOHNSON
SHEALA
RAE
3800 SUMMITVIEW AVE
YAKIMA
WA
989022715
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