NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1699174318
CHAFFEE
PHILIP
L
2301 W WELLESLEY ST
SPOKANE
WA
992050000
1023412947
MCCANNA
JOHNIE
J
2301 W WELLESLEY AVE
SPOKANE
WA
992055004
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