NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104286913 | MOSES | JESSICA |   |   | 122 12TH STREET EXT | PRINCETON | WV | 247402352 |
1184795197 | ROOT | CAROL | JEAN |   | 12TH STREET | PRINCETON | WV | 24740 |
1386611127 | SHAY | DONNA | RUTH |   | 122 12TH STREET EXTENSION | PRINCETON | WV | 247402272 |