NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1548246630 | BAUGH | MIRANDA | LYNN |   | 737 BROADWAY | FARGO | ND | 581220001 |
1629099858 | FOSSUM | TRICIA | M |   | 737 BROADWAY | FARGO | ND | 581220001 |
1669490264 | PROMERSBERGER | ERIC | R |   | 801 BROADWAY N | FARGO | ND | 581023641 |
1043232614 | TEIGEN | COREY | L |   | 801 BROADWAY N | FARGO | ND | 581023641 |