NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1669404992 | MOUNTS | STANLEY | A |   | 1701 W 26TH ST | JOPLIN | MO | 648041513 |
1982859237 | RUSSELL | JUDITH | ANN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |
1154363232 | SMITH | DAVID | SEAN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |
1992784086 | STAPP | JULIE | ANN |   | 2817 SAINT JOHNS BLVD | JOPLIN | MO | 648041563 |