NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1548619208 | FARGO | MARGARET |   |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 13602 |
1467865584 | PETTIT | MARIA |   |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 136025005 |
1598114282 | POWELL | PRANY |   |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 136025005 |
1861109951 | RAMIREZ | GREGORY | JESUS |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 136025503 |
1144585605 | RANGE | ROBERT | HARRIS |   | US ARMY FORT DRUM STONE DENTAL CLINIC | APO | AA | 13602 |
1326645532 | REDDY | DANELLE |   |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 136025503 |
1124442926 | SICKLER | KIMBERLYN | JOY |   | 10590 ENDURING FREEDOM DR | FORT DRUM | NY | 136025503 |