NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1356861496
DURON TABORA
JAVIER
ALCID
 
201 PARK ST
BOWLING GREEN
KY
421011708
1053980540
SCOGGINS
DERRICK
WAYNE
 
201 PARK ST
BOWLING GREEN
KY
421011708
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