NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285302430 |   |   |   | LIBERTY CLINIC LLC | 1103 E GRACE ST | RENSSELAER | IN | 479783210 |
1649707662 |   |   |   | ROBERT E DARNABY | 1103 E GRACE ST | RENSSELAER | IN | 479783210 |
1124397336 | KAYE | ROBERT | C |   | 1103 E GRACE ST | RENSSELAER | IN | 479783210 |
1104574037 | SNODGRASS | TAYLOR |   |   | 1103 E GRACE ST | RENSSELAER | IN | 479783210 |