NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902187255 | BECK | JONATHAN | N |   | 2401 DEMERS AVE | GRAND FORKS | ND | 58201 |
1467419267 | MALOTT | KATHRYN | E |   | 2401 DEMERS AVE | GRAND FORKS | ND | 58201 |
1235331232 | WILLIS | NICOLE | RAE |   | 2401 DEMERS AVE | GRAND FORKS | ND | 58201 |