ProviderBusinessMailingAddressFaxNumber = '8666572791'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1245329325
BARRETT
MELISSA
R
11055 SHOE CREEK DR
BATON ROUGE
LA
708184022
1518214477
SAALE
BRITTANY
WAX
11055 SHOE CREEK DR
BATON ROUGE
LA
708184022
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