ProviderBusinessMailingAddressFaxNumber = '8772683922'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1316392558
HANCOCK
MELISSA
ANN
1111 BAKER ST
COSTA MESA
CA
926264138
1598182164
YOUNG
BETH ANNE
STARR
2200 HARBOR BLVD.
COSTA MESA
CA
92626
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