NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134569056 | BOSTIC | KATHERINE | ANNE |   | 106 PLAZA DR | SAINT CLAIRSVILLE | OH | 439506700 |
1306951157 | EDGMON | JEREMY | JOHN |   | 106 PLAZA DR | SAINT CLAIRSVILLE | OH | 439506700 |
1609147883 | EDGMON | MICHELLE |   |   | 106 PLAZA DR | SAINT CLAIRSVILLE | OH | 439506700 |
1629080460 | GLASS | RICHARD | SALVATORE |   | 2000 EOFF ST | WHEELING | WV | 260033823 |