NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1881007631 | FRAZE | THOMAS |   |   | 9340 SARIC DR | HIGHLAND | IN | 463222941 |
1104319052 | GORGAS | TANYA | MARIE |   | 1100 W 6TH AVE | GARY | IN | 464021711 |
1124763396 | JOHNSON- BLAKE | ESTER | COTE |   | 1110 W 5TH AVE | GARY | IN | 464021723 |