NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1275606295
LANGE
BRYAN
SCOTT
2074 ANTILLEY RD STE 100
ABILENE
TX
796065209
1942373972
REGALA
TARA
JANEENE
4601 HARTFORD ST
ABILENE
TX
796054603
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