NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1528543444 | JOHNSON | KIM | SUZANNE |   | 3101 LATHROP ST | FAIRBANKS | AK | 997017426 |
1063056141 | LEYVA FULLER | JOSEPHINE | D |   | 3101 LATHROP ST | FAIRBANKS | AK | 997017426 |
1487121059 | MCLANE | SUSAN | ANNETTE |   | 3101 LATHROP ST | FAIRBANKS | AK | 997017426 |