ProviderBusinessMailingAddressFaxNumber = '2635815203'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1629523428	BLICKENSTAFF	BRYNN	ANN		9315 GRAVELLY LAKE DR SW	LAKEWOOD	WA	984991574
1962956102	COUPE	DANIEL	RYAN		9315 GRAVELLY LAKE DR SW	LAKEWOOD	WA	984991574

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