NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1922484757
GUEDON
LACY
FONTENOT
PO BOX 1300
WINNSBORO
LA
712953344
1750643672
LOFTON
TRICIA
BACON
2104 LOOP ROAD
WINNNSBORO
LA
71295
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