ProviderBusinessMailingAddressFaxNumber = '6067802382'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1003884628
LACOCK
JAMES
C
234 MEDICAL CIR
MOREHEAD
KY
403511194
1366770315
STANLEY
CASSIE
JO
234 MEDICAL CIR
MOREHEAD
KY
403511194
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