NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1336445600
COPELAND
TARA
DENE
 
611 E HAWKINS PKWY
LONGVIEW
TX
756057977
1649418914
STEPHENS
CELESTE
 
 
3133 GOOD SHEPHERD WAY
LONGVIEW
TX
756053674
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