| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710492236 | JURADO | KATHRYN | MACTHALENA | 701 DECATUR AVE N STE 109 | GOLDEN VALLEY | MN | 554274363 | |
| 1689159840 | TWOGOOD | ROLLEN | BENJAMIN | 701 DECATUR AVE N STE 109 | GOLDEN VALLEY | MN | 554274363 |