| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376270934 | CARROLL | LACEY | 814 N 3RD ST | GOSHEN | IN | 465287100 | ||
| 1730816307 | MURILLO | MONICA | YARETT | 814 N 3RD ST | GOSHEN | IN | 465287100 | |
| 1124032578 | WHITE | DANIEL | E | 814 N 3RD ST | GOSHEN | IN | 465287100 |