| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1902344591 | MODERN MOJO | 28 NW 4TH ST | GRAND RAPIDS | MN | 557442714 | |||
| 1740511831 | ROTH | SHOSTY | SUE | 28 NW 4TH ST STE A | GRAND RAPIDS | MN | 557442714 | |
| 1740724483 | SHIMEK | MANDI | 28 NW 4TH ST STE A | GRAND RAPIDS | MN | 557442714 | ||
| 1457753295 | ZIMMERMAN-DESCHEPPER | TRACY | 28 NW 4TH STREET | GRAND RAPIDS | MN | 557442714 |