ProviderBusinessMailingAddressFaxNumber = '5417065936'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1114959210
ALLUMBAUGH
THOMAS
LEE
61250 SE COOMBS PL
BEND
OR
97702
1730447350
SERRANO
SARAH
E
PO BOX 5579
BEND
OR
977085579
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