NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1932575040
DAVIS
LOGAN
GREGORY
 
677 KIDDER STREET
WILKES BARRE
PA
18702
1336576305
PRALL
KELLY
MARIE
 
677 KIDDER STREET
WILKES-BARRE TWP.
PA
18702
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