NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164623419 |   |   |   | WAL-MART STORES EAST, L.P. | 702 SW 8TH STREET | BENTONVILLE | AR | 72716 |
1922334911 |   |   |   | DR WESTON R MANGOLD, LLC | 7152 QUARTERHORSE DR | SPRINGBORO | OH | 450667784 |
1083751390 | MANGOLD | WESTON | R |   | 7152 QUARTERHORSE DR | SPRINGBORO | OH | 450667784 |