ProviderBusinessMailingAddressFaxNumber = '8015845640'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1265475131
BAIR
BYRON
SLC VAMC GRECC (182)
SALT LAKE CITY
UT
841480001
1457398703
RUPPER
RANDALL
W.
GRECC (182) BLDG. 2, VAMC
SALT LAKE CITY
UT
841480001
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