NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316036700 | BALLARD | JUDITH |   |   | 530 E 34TH ST | JOPLIN | MO | 648043924 |
1902980360 | HANSEN | LOUISE | ANN |   | 530 E 34TH ST | JOPLIN | MO | 648043924 |
1053541987 | PATELLA | AMY | C. |   | 530 E 34TH ST | JOPLIN | MO | 648043924 |