ProviderBusinessMailingAddressFaxNumber = '5094347806'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1073062295
GODFREY
SPENCER
611 N IRON BRIDGE WAY
SPOKANE
WA
992024932
1508228388
WILLIAMS
LAUREN
ANNE
611 N IRON BRIDGE WAY
SPOKANE
WA
992024932
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