ProviderBusinessMailingAddressFaxNumber = '8302326522'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1881701019	FONDREN	GLORIA	D.		PO BOX 689	LEAKEY	TX	788730689
1447310370	LOPEZ	CELINA	ALEXIS		PO BOX 689	LEAKEY	TX	788730689

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