| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1871687970 | HUNSAKER | NATHAN | ALLEN | | 1560 S CAROL ST | MERIDIAN | ID | 836461839 |
| 1871067363 | LARSON | RYAN | | | 2035 CORTE DEL NOGAL | CARLSBAD | CA | 920111445 |
| 1346626652 | LARSON | TYLER | J. | | 1560 S CAROL ST | MERIDIAN | ID | 836461839 |
| 1760621080 | LASCO-SANDERS | KARI | ANNE | | 1560 S CAROL ST | MERIDIAN | ID | 836461839 |
| 1417383654 | LOERTSCHER | JED | G | | 1560 S CAROL ST | MERIDIAN | ID | 836461839 |
| 1225065196 | MACIESKI | DENNIS | C | | PO BOX 3206 | IDAHO FALLS | ID | 834033206 |
| 1700174489 | RIGBY | CHRISTOPHER | A | | 2176 E FRANKLIN RD | MERIDIAN | ID | 836429024 |
| 1477152296 | SKANCHY | TYLER | | | 3155 CHANNING WAY STE D | IDAHO FALLS | ID | 834047875 |
| 1740693050 | THOMPSON | MARK | | | 1560 S CAROL ST | MERIDIAN | ID | 836461839 |
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