NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902344591 |   |   |   | MODERN MOJO | 28 NW 4TH ST | GRAND RAPIDS | MN | 557442714 |
1538576517 | RENGO | KARI | MARIE |   | 28 NW 4TH ST | GRAND RAPIDS | MN | 557442714 |
1740511831 | ROTH | SHOSTY | SUE |   | 28 NW 4TH ST STE A | GRAND RAPIDS | MN | 557442714 |
1740724483 | SHIMEK | MANDI |   |   | 28 NW 4TH ST STE A | GRAND RAPIDS | MN | 557442714 |