NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1679889356
MOORHOUSE
AMANDA
S
PO BOX 70403
JOHNSON CITY
TN
376141703
1932861671
PROSAK
MEREDITH
MCCOOK
202 W FAIRVIEW AVE
JOHNSON CITY
TN
376045611
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