NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1699003210	DAVIS	DAMON			1269 COUNTY ROAD 468	POPLAR BLUFF	MO	639012989
1215915889	GIBBS	DEVONA	J		196 TIMBER RIDGE TRL	POPLAR BLUFF	MO	639011595

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