NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1861720245				HEALTHY SMILES, INC.	63407 130TH AVE	CLAREMONT	MN	559244656
1003002882	KRUCKEBERG	SHANNON	MARIE		63407 130TH AVE	CLAREMONT	MN	559244656

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