NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174975494 | GAHBAUER | ALICE | MARY |   | 1563 SAND PLANT RD | CHARLESTON | WV | 253096120 |
1992925648 | QUEEN | LISA |   |   | 1563 SAND PLANT RD | SOUTH CHARLESTON | WV | 253096120 |
1134225444 | RANSON | JACQUELINE | C. |   | 1563 SAND PLANT RD | SOUTH CHARLESTON | WV | 253096120 |