ProviderBusinessMailingAddressFaxNumber = '5412967610'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1982895835
ARCHIE
PATRICK
H
1700 E 19TH ST
THE DALLES
OR
970583317
1437195476
FORSYTHE
ALICE
MYRA
1700 E 19TH ST
THE DALLES
OR
970583317
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