ProviderBusinessMailingAddressFaxNumber = '8123395229'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1548590201
COX
ELIZABETH
KATHLEEN
2605 E CREEKS EDGE DR
BLOOMINGTON
IN
474018368
1831194828
LAFOLLETTE
JAMES
W.
550 LANDMARK AVE.
BLOOMINGTON
IN
474020550
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