NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1881608867
DETHERAGE
JAMES
M
 
PO BOX 2379
ASHLAND
KY
411052379
1346680626
VASS
BROOKE
E
 
PO BOX 2379
ASHLAND
KY
411052379
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