ProviderBusinessMailingAddressFaxNumber = '8017379531'
NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1548202096   IHC HEALTH SERVICES, INCPO BOX 27128SALT LAKE CITYUT841270128
1255598652MURDOCKJANABETH PO BOX 27128SALT LAKE CITYUT841270128

Home