NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104810712 | ANDREWS | LESLIE | J |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |
1861482002 | HALING | JACK | LEROY |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |
1164416764 | HOLST | DAVID | GLENN |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |
1922092527 | LAGRO | RONALD | KAMINSKI |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |
1376539981 | STERNBERG | HARVEY | JOEL |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |
1609860220 | WILLIAMS | WINSTON | SAMUEL |   | PO BOX 339 | MOUNT SHASTA | CA | 960670339 |