ProviderBusinessMailingAddressFaxNumber = '4409976507'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467900951 | BERG | JERRY | ANNE | | PO BOX 92987 | CLEVELAND | OH | 441943436 |
| 1003085416 | CALESTRO-MCDONALD | JULIE | E | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1831157841 | CAUWENBERGH | JUDE | T | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1134187107 | CHILLCOTT | JAMES | H.T | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1053378430 | CHO | JAMES | NAM JAE | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1821056839 | CHOI | SUK KON | | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1578520300 | DLWGOSH | ROBERT | A. | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1205006178 | DUNBAR | MICHELLE | LYNN | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1194966978 | EL GAMMAL | REHAM | E | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1922232016 | KRILOVA | YEKATERINA | NIKOLAEVNA | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1962469163 | LAZARESCU | DAN | | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1023075280 | MILLER | DORIS | P. | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1669452256 | NOVAK | DAVID | J. | | 2420 LAKE AVE | ASHTABULA | OH | 440044970 |
| 1124085428 | POSCH | JOHN | | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
| 1235196866 | WIESE | EDWARD | A | | 2422 LAKE AVE | ASHTABULA | OH | 440044985 |
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