ProviderBusinessMailingAddressFaxNumber = '6077774440'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1417354911
JOHNSTON
YVONNE
A
PO BOX 6000
BINGHAMTON
NY
139026000
1114172020
TERWILLIGER
SUSAN
1 GUTHRIE SQ
SAYRE
PA
188401625
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