NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013969021 | CRUM | JOSEPH | D. |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1164724787 | DAVIS | AMANDA | NICOLE |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1174560148 | KOTTAPALLI | AJAY | K. |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1912295338 | O'KELLY | BEN | DANIEL |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |
1164821930 | STUMP | REBECCA | J |   | 90 JACKSON PIKE | GALLIPOLIS | OH | 456311560 |