ProviderBusinessMailingAddressFaxNumber = '5092586757'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1114263225
DAVID C. WYNECOOP, MEMORIAL CLINIC
928 E ILLINOIS AVE
SPOKANE
WA
992072637
1134125594
KOEPPING
MARGARET
JULIE
PO BOX 357
WELLPINIT
WA
990400357
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