NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1427002146
SHAW
MICHAEL
ALLEN
 
300 E 6TH ST
TEXARKANA
AR
718545207
1265923759
TUCKER
DANIEL
MORGAN
 
3417 U OF A WAY
TEXARKANA
AR
718541419
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