NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1497868335 |   |   |   | PROVIDENCE HEALTH & SERVICES MT | PO BOX 12 | LIBERTY LAKE | WA | 990190012 |
1619314622 | CORNELIUS | ELIZABETH |   |   | PO BOX 12 | LIBERTY LAKE | WA | 990190012 |
1396949244 | LINFORD | JOHN | WILLIAM |   | PO BOX 12 | LIBERTY LAKE | WA | 990190012 |
1861548471 | MAYS | ASHLEY |   |   | PO BOX 12 | LIBERTY LAKE | WA | 990190012 |
1518994458 | NICHOLS | WILLIAM | C |   | PO BOX 12 | LIBERTY LAKE | WA | 990190012 |