ProviderBusinessMailingAddressFaxNumber = '9037634301'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1225117419				JORDAN & GILLIS INC	1026 E GOODE ST	QUITMAN	TX	757831641
1780149401				LS QUITMAN OPERATOR LLC	1026 E GOODE ST	QUITMAN	TX	757831641

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