NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457334880 |   |   |   | PRIMROSE PLACE INC | 1115 E PRIMROSE ST | SPRINGFIELD | MO | 658075146 |
1316303993 | EASTEP | GWEN | C |   | PO BOX 4046 | SPRINGFIELD | MO | 658084046 |
1154612588 | KELCHEN | PHILLIP |   |   | PO BOX 4046 | SPRINGFIELD | MO | 658084046 |
1518369396 | STUPPY | GERRI | LYNN |   | PO BOX 4046 | SPRINGFIELD | MO | 658084046 |