ProviderBusinessMailingAddressFaxNumber = '5742460171'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1265664510 | BALDERAS | LISA | | | 611 LINCOLN WAY E | SOUTH BEND | IN | 466013220 |
| 1629302302 | BRADLEY | ANGELENE | | | 611 LINCOLN WAY E | SOUTH BEND | IN | 466013220 |
| 1225312994 | BYLER CASAULT | ELSA | | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
| 1215261300 | FRAKES | LESLEY | J. | | 611 LINCOLN WAY E | SOUTH BEND | IN | 466013220 |
| 1306191176 | GOETHALS | HALEY | | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
| 1699080200 | HEPWORTH | TINA | | | 500 N NAPPANEE ST STE 4A | ELKHART | IN | 465141502 |
| 1932450657 | HOLEWCZYNSKI | LORI | | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
| 1720077654 | HURST | JILL | | | 513 W JEFFERSON BLVD | SOUTH BEND | IN | 466011516 |
| 1417232042 | KOWALSKI | MARY | | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
| 1639498256 | LUDWIG | KRISTIN | | | 611 LINCOLN WAY E | SOUTH BEND | IN | 466013220 |
| 1639499460 | SAIGE | MEGAN | | | 500 N NAPPANEE ST | ELKHART | IN | 465141503 |
| 1457670127 | TYLER | CAMIE | | | 611 LINCOLN WAY E | SOUTH BEND | IN | 466013220 |
| 1861788879 | WALKER | LYNNE | | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
| 1902937451 | WATERS | KATHYE | J | | 315 W JEFFERSON BLVD | SOUTH BEND | IN | 466011512 |
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