NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1437566841 | KING | SHELBY |   |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |
1982859237 | RUSSELL | JUDITH | ANN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |
1154363232 | SMITH | DAVID | SEAN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |
1992784086 | STAPP | JULIE | ANN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |