NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1417990565 | BROWN | ROY | REGINALD |   | 1320 W MAIN ST | NEWARK | OH | 430551822 |
1487151833 | EMERINE | LACIE |   |   | 1980 TAMARACK RD | NEWARK | OH | 430551363 |
1982009288 | GRAHAM | KATIE | MARIE |   | 1980 TAMARACK RD | NEWARK | OH | 430551363 |
1194929463 | REEDUS | DERRICK | LAMAR |   | 1320 W MAIN ST | NEWARK | OH | 430551822 |