NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1336255629 | GREEN | WILLIAM | DOUGLAS |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |
1144338781 | HOLDER | JACQUELINE |   |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |
1740254630 | PINO | ELIZABETH | A |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |
1447361308 | REED | PHILIP | A |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |