ProviderBusinessMailingAddressFaxNumber = '8493417867'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1275705543
INDEPENDENT ANESTHESIOLOGISTS, PSC
PO BOX 12749
COVINGTON
KY
410120749
1134130586
BOHRER
JAMES
R
20 MEDICAL VILLAGE DR
EDGEWOOD
KY
410175401
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