NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1447305412
BELL
JIMMY
D
1050 W 10TH ST
ROLLA
MO
654012905
1841447174
LYMAN
KENNETH
RAY
1050 W. 10TH STREET
ROLLA
MO
65401
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