NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1346639135 | DOUGLAS | WESLEY |   |   | 17100 SR 507 SE | YELM | WA | 985977605 |
1902208705 | GUPTILL | KATHY | LEE |   | 17100 STATE ROUTE 507 SE | YELM | WA | 985977605 |
1710176201 | MUI-PARK | MICHELLE | HING |   | 17100 SR 507 SE | YELM | WA | 985977605 |
1386053353 | SANTAMARIA | RITA |   |   | 17100 SR 507 SE | YELM | WA | 985977605 |