NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1932272127 | ELLIN | ELIZABETH | KENETTE |   | 4155 YELLOWSTONE AVE | POCATELLO | ID | 832022345 |
1154494037 | KERR | CAROLINE | J |   | 4155 YELLOWSTONE AVE | POCATELLO | ID | 832022345 |
1649712597 | MCCURDY | ANGIE | M |   | 4155 YELLOWSTONE HWY | POCATELLO | ID | 83202 |
1437222668 | OLENICK | KELLEY | J |   | 4155 YELLOWSTONE AVE | POCATELLO | ID | 832022345 |