NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1265912398
MIMS
LAKEIDRA
T
CCB 4FL 1720 2ND AVE S
BIRMINGHAM
AL
352942050
1245773902
MURPHY
DUSTY
MICHELLE
CCB FL 4
BIRMINGHAM
AL
352942050
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