NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1164976866
WECARE TLC - TSC LSC HEALTH AND WELLNESS NORTH
2529 SCHUYLER AVE
LAFAYETTE
IN
479053979
1336611201
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE
SC
296816207
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