NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1942318795 | MANDEVILLE | GLENN | A |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |
1871601658 | MAYNARD | STEVEN | D |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |
1396749966 | TISINAI | KAREN | ANN |   | 221 S 6TH ST | TERRE HAUTE | IN | 478074214 |