ProviderBusinessMailingAddressFaxNumber = '8017737060'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1164692323
BINGHAM
KATIE
1812 N 2000 W STE 1
OGDEN
UT
844048059
1619646049
BROWN
RIAH
MAE
934 S MAIN ST
LAYTON
UT
840417135
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