| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083691828 | ANDERSON | EDWIN | A. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1265492912 | BEYER | DEREK | A | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1174852263 | CAREY | JODIE | KAYE | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1033195805 | CARLIN-JANSSEN | PATRICIA | C. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1326023060 | CARLISLE | JACK | VICTOR | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1699966184 | CARLSON | JEREMY | TODD | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1811973670 | CLEARY | CATHY | J. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1437136090 | COLE-ANTHONY | CARY | R. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1285751271 | DAVIS | JIM | S. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1801088505 | ENRIGHT | BRENDA | S. | | 19009 SUGAR LAKE TRL | COHASSET | MN | 557218950 |
| 1861568289 | ERICKSON | TROY | DEWAYNE | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1497732069 | FOWLER | MARC | A. | | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
| 1568449106 | FRIEDLIEB | PETER | M. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1700862562 | FRIESEN | PAMELA | M. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1912984550 | GERLING | SCOTT | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1669507695 | GROSSELL | PEGGY | COLLEEN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1376520916 | HARKER | JAMISON | L. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1255318804 | HARKER | SHANNON | R. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1285611822 | HELVIG | RICHARD | J | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1417241571 | HOLL | STACY | KATE FRIESEN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1760604623 | IMHOLTE | PHILIP | BRUCE | | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
| 1952371189 | JOHNSON | MICHAEL | D. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1265559546 | JONES | THOMAS | G. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1902883549 | KJORLIEN | ROY | D. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1720065360 | KOLE | JOHN | A. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1841277415 | LADER | STEVEN | F. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1972596823 | LAWSON | RUSSELL | K | | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
| 1255319026 | LIEBE | MICHAEL | B. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1518944156 | LOKEN | DAVID | C. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1508007659 | MURPHY | KEITH | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1235398751 | NOVAK | RYAN | THAYER | | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 557448648 |
| 1952488991 | NOZNESKY | NATHAN | M | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1871808733 | OJA | JENNIFER | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1457486482 | OLSON | TRACI | KAY | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1497771596 | OWENS | LISA | KATHRYN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1881671428 | PEHL | SHARA | D. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1194702779 | PEHL | TIMOTHY | J. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1396814653 | PLACKNER | VALERIE | ANN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1649257213 | RADOVICH | TERRI | J. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1609853258 | RALSTON | ROGER | A. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1023116522 | RASMUSSON | MARK | A. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1518944164 | ROMANIK | SUSAN | E. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1609853027 | ROURK | JANICE | M. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1336126986 | RUTHERFORD | WILLIAM | L. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1538147327 | SCHERER | DENNIS | F. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1639471972 | SIMON | SHERRY | ANN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1396908521 | SKAUDIS | DARIN | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1497836894 | SOULAR | DANIEL | WILLIAM | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1598742140 | STAPLETON | KENNETH | L. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1992129985 | SWANSON-HILL | HEATHER | ANN | | 1601 GOLF COURSE ROAD | GRAND RAPIDS | MN | 55744 |
| 1598743494 | THOM | JEAN | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1073591160 | TOFTE | ANNE | EILEEN | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1295705101 | TREPMAN | ELLY | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1952388506 | VILLENEUVE | ROSETTA | K. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1699745331 | VIREN | THOMAS | J. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1629164983 | YOUNGDAHL PALECEK | ANTOINETTE | | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
| 1649257882 | ZIMMERMAN | ROBERTA | L. | | 1601 GOLF COURSE RD | GRAND RAPIDS | MN | 557448648 |
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