ProviderBusinessMailingAddressFaxNumber = '8128551683'
NPILastNameFirstNameMidNameOrganizationMailing AddressCityStateZip
1548677388CHEUNGHIN  744 E 3RD STBLOOMINGTONIN474053603
1639124761FAIMONDONALDR PO BOX 7062INDIANAPOLISIN462077062
1275938433FISHERSTEPHANIELYN PO BOX 7062INDIANAPOLISIN462077062
1083663488KINGBRETTJOSEPH 744 E 3RD STBLOOMINGTONIN474053603
1134108665PEABODYTODDDAVID 800 E ATWATER AVEBLOOMINGTONIN474053635
1275600306POLSTERBRENDAKAY 744 E 3RD STBLOOMINGTONIN474053603

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