NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1407120132
AMIAN-SKAMFER
MONAROSE
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014513
1588723605
SHAPIRO
IDEE
B
895 NAPA AVE.
MORRO BAY
CA
93442
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