NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1518939784 | BURK | SUSAN | L |   | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |
1194703009 | GONGWER | MELODY | ANN |   | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |
1265512495 | HAWK | MEGAN |   |   | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |
1710296017 | HIGGINS | KELLY | L |   | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |
1043303514 | VANCE | JONIKKA | ELIZABETH |   | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |