NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679903074 | COOPER | LEAH |   |   | PO BOX 2526 | JOPLIN | MO | 648032526 |
1528334752 | DERRYBERRY | JONATHON |   |   | 3230 WISCONSIN AVE | JOPLIN | MO | 648044029 |
1730501800 | SHRUM | RANDIE |   |   | PO BOX 2526 | JOPLIN | MO | 648032526 |