ProviderBusinessMailingAddressFaxNumber = '5309262305'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114479797 | BRIOSO | ERIKSSON | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1225580905 | BUTLER | DANCING | EMBER | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1942752621 | BUTLER | SARIYA | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1396982476 | CARTER | STACY | | | 1109 REAM AVE | MOUNT SHASTA | CA | 960679768 |
| 1013469691 | CRISCI | HANNAH | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1568914141 | DOMBROWSKI | LOUISE | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1003318460 | FOSTER | TAMI | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1366638132 | FRUTTERO | JACQUELINE | MICHELLE | | 1107 REAM AVE | MOUNT SHASTA | CA | 960679768 |
| 1669986790 | GOMES-MATOS | RAFAELA | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1952766131 | GRANNAN | MATTHEW | J | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1427599455 | LIGHT | BRUCE | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1023224623 | MANDELKERN | ETHAN | C | | PO BOX 1087 | MOUNT SHASTA | CA | 960671087 |
| 1710169651 | SOVIECKE | ANNA | | | 1107 REAM AVE | MOUNT SHASTA | CA | 960679768 |
| 1366787467 | TANNACI | MEGAN | | | 1107 REAM AVE | MOUNT SHASTA | CA | 960679768 |
| 1346436128 | WALSKI | SIBYL | JEAN | | 1107 REAM AVE | MOUNT SHASTA | CA | 960679768 |
| 1821540402 | WELKER | NATHAN | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
| 1548712128 | WINKELMAN | ALYSSA | | | 301 CHESTNUT ST | MOUNT SHASTA | CA | 960672214 |
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