ProviderBusinessMailingAddressFaxNumber = '5412788375'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1316925472	DENNIS	MAYRA	ELAINE		PO BOX 670	BEND	OR	977090670
1831130251	DRETKE	KHUELIEN	NGUYEN		PO BOX 670	BEND	OR	977090670
1770650913	GATTO	JESSICA	L		PO BOX 670	BEND	OR	977090670
1578714986	HICKS	ALICIA	J		2175 NW SHEVLIN PARK RD	BEND	OR	977037101
1740578194	KAHLERT	KELLY	NOELLE		929 SW SIMPSON AVE STE 300	BEND	OR	977023599
1013295690	LAIN	LISA	A.		PO BOX 670	BEND	OR	977090670
1841228228	LEVINSON	GARY	ALLEN		PO BOX 670	BEND	OR	977090670
1225285109	PERCELL	BREANNA	LOREEN		PO BOX 670	BEND	OR	977090670
1699827840	PRINSTER	JASON			929 SW SIMPSON AVE STE 300	BEND	OR	977023599
1861673667	RAMSEY	JOHN	PATRICK		PO BOX 670	BEND	OR	977090670
1720251291	RAMSEY	MONICA	ELLEN RAU		PO BOX 670	BEND	OR	977090670
1831427509	SAPIN	ASHLEY	AURORA		PO BOX 670	BEND	OR	977090670
1538666268	SORENSON	ERIC	LUTHER		929 SW SIMPSON AVE STE 300	BEND	OR	977023599
1528046455	STRUTIN	DAVID	M		929 SW SIMPSON AVE	BEND	OR	977023599
1568518728	URI	LISA	JILL		PO BOX 670	BEND	OR	977090670
1588858351	WARTON	JENNIFER	BROOKE		PO BOX 670	BEND	OR	977090670
1124092051	WIDMER	MICHAEL	C		PO BOX 670	BEND	OR	977090670

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