ProviderBusinessMailingAddressFaxNumber = '7317840001'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1669816377
FAMILY CARE WALK IN CLINIC, INC
400 US HIGHWAY 45 W
HUMBOLDT
TN
383438503
1952852980
LAFONT
BAMBI
400 US HIGHWAY 45 W
HUMBOLDT
TN
383438503
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