NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1093720534
PROVIDENCE HEALTH & SERVICES - WASHINGTON
2250 S. WOODWORTH LOOP
PALMER
AK
99645
1144439639
COPELAND
JEFFREY
JAMES
3122 E MERIDIAN PARK LOOP
WASILLA
AK
996547255
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