NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1275770166 | GRUBBS | SETH | ANDREW |   | 650 JOEL DR | FORT CAMPBELL | KY | 422235349 |
1306074299 | JOHNSTON | AARON | ROSS |   | 650 JOEL DR. | FT. CAMPBELL | KY | 422235349 |
1255868105 | KING | JULIA |   |   | 650 JOEL DR | FORT CAMPBELL | KY | 422235318 |
1740686070 | LOCKE | SHAW | TIMOTHY |   | 650 JOEL DR | FORT CAMPBELL | KY | 422235318 |
1902178965 | POLSTON | DAVID | MICHAEL |   | 650 JOEL DR | FORT CAMPBELL | KY | 422235318 |