NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1720085228 | BOSWELL | JOHN | I |   | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 |
1003004458 | KRILEY | COURTNEY | ANNE |   | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 |
1700883378 | MORFORD | MAROLYN | E |   | 1315 W COLLEGE AVE | STATE COLLEGE | PA | 168012776 |