NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1780610071	CARBOL	COURTLAND	REID		880 W QUINN RD	CHUBBUCK	ID	832022454
1548517972	KARROUM	BRANDI	B		880 W QUINN RD	POCATELLO	ID	832022454

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