ProviderBusinessMailingAddressFaxNumber = '7122567374'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1336523893
CONVENIENT CARE MEDICAL GROUP, PLLC
3502 METRO DRIVE
COUNCIL BLUFFS
IA
515017724
1215281282
SCHMIDT
WYATT
ALLEN
3502 METRO DRIVE
COUNCIL BLUFFS
IA
515017724
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