| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093977589 | BORG | ADAM | MICHAEL | | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |
| 1609967090 | BRAINARD | CAROLYN | P | | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |
| 1114957073 | KANE | JUSTIN | THOMAS | | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |
| 1497315253 | KRUGER | BRADLEY | DAVIS | | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |
| 1659462034 | LEMKE | DAVID | M | | 1917 N LAKEWOOD DR | COEUR D ALENE | ID | 838142634 |
| 1437212172 | RICH | BEVEN | JEAN | | 14222 W COEUR DALENE DR | SPIRIT LAKE | ID | 838698732 |
| 1912667239 | THOMAS | TARYNE | | | 12118 N TRACEY RD | HAYDEN | ID | 838357298 |
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