NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1700056835
POTISUK
MICHAEL
PAUL
 
2803 AKRON RD
WOOSTER
OH
446917904
1639366677
SPRAGUE
ROBERT
CHARLES
 
6804 LANSING AVE
CLEVELAND
OH
441053757
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