ProviderBusinessMailingAddressFaxNumber = '5414699204'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1063422608
LEIGHTON
ALEXANDER
555 5TH STREET
BROOKINGS
OR
97415
1194731703
LEIGHTON
JULIANE
555 5TH ST
BROOKINGS
OR
974159702
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