NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1073765004
FESUK
STEPHEN
BORIS
 
304 S 22ND ST
TEMPLE
TX
765014726
1144265653
POUSSON
CAMILLE
MARIA
 
304 SOUTH 22ND STREET
TEMPLE
TX
76501
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