ProviderBusinessMailingAddressFaxNumber = '5053259113'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1801142930	GENSINI	ANDRES			1001-D WEST BROADWAY	FARMINGTON	NM	87401
1912923566	GRAHAM	WARREN	KIRKLAND		1001 W BROADWAY STE D	FARMINGTON	NM	874015638
1386964153	HOFFMAN	MICHELE	ANN		1001 W BROADWAY STE D	FARMINGTON	NM	874015638
1265871859	KNUTSEN	GREGORY	ROBERT		1001 W. BROADWAY AVE.	FARMINGTON	NM	874015638
1083847586	LINDSEY	CHARLES	T		1001 W BROADWAY STE D	FARMINGTON	NM	874015638
1952309833	MARREN	THOMAS	F		1001 W BROADWAY	FARMINGTON	NM	874015638
1316921471	MOSS	ERNEST			1001D WEST BROADWAY	FARMINGTON	NM	87401
1174124788	PALMER	GWENDOLYN	MARIE		1001 W BROADWAY	FARMINGTON	NM	874015638
1184640831	RAGO	SUSAN	ELLEN		PO BOX 445	AZTEC	NM	874100445
1750055372	SEITZ	DICIE	FAYE		1001 W BROADWAY # DE	FARMINGTON	NM	874015638
1295791473	SWANSON	JULIE	DAWN		1001 W BROADWAY STE D	FARMINGTON	NM	874015638
1780121046	TAYLOR	CLINTON	THAYNE		1001 W BROADWAY STE D	FARMINGTON	NM	874015638
1750666327	WOOTEN	CYNTHIA	JOANNA		1001 W BROADWAY	FARMINGTON	NM	874015638

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