NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1700171717
KNOWLTON
DANIELLE
MARIE
 
1111 EMERALD BAY RD
SOUTH LAKE TAHOE
CA
961506207
1043254907
ROTH
RONALD
CARL
 
1111 EMERALD BAY RD
SOUTH LAKE TAHOE
CA
961506207
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