NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1124116744	BRAUTIGAM	JAN			16 HICKORY HILL DR	O FALLON	MO	633661948
1124040415	BRAUTIGAM	PAUL	ALLEN		16 HICKORY HILL DR	O FALLON	MO	633661948

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