NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1154566230	ELWICK	MARY	KAY		3352 N FUTRALL DR	FAYETTEVILLE	AR	727034057
1902051642	WATERS	SANDRA			3352 N FUTRALL DR	FAYETTEVILLE	AR	727034057

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