ProviderBusinessMailingAddressFaxNumber = '6164580095'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558584789 | ELLIS | EMMY | RUTH | | 1101 BALL AVE NE | GRAND RAPIDS | MI | 495055904 |
| 1194116764 | HAYWOOD-CAMARA | TIKILA | | | 1101 BALL AVE NE | GRAND RAPIDS | MI | 495055904 |
| 1285851311 | MORGAN | MARGUERITE | AGNES | | 1518 MARGARET AVE SE | GRAND RAPIDS | MI | 495072228 |
| 1316338999 | MULLETT | BETTY | ANN | | 1101 BALL AVE NE | GRAND RAPIDS | MI | 495055904 |
| 1407249832 | WING | ERICA | | | 1101 BALL AVE NE | GRAND RAPIDS | MI | 495055904 |
| 1720201437 | WORTHEM | CATHY | LYNN | | 1101 BALL AVE NE | GRAND RAPIDS | MI | 495055904 |
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