ProviderBusinessMailingAddressFaxNumber = '5054540397'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1740679257 | ABEYTA | ANGELENE | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1871957548 | BACA | EDWARD | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1972246643 | BENAVIDEZ | ROGER | | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1780073205 | GONZALES | DAVID | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1841645041 | LOPEZ | ADELITA | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1154710663 | LOPEZ | ESTELLA | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1518248269 | MONTOYA | DANA | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1104068832 | PACHECO | SYLVIA | A | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1982080594 | PENA | RANDALL | | | 411 RAILROAD AVE APT 1 | LAS VEGAS | NM | 877013934 |
| 1639600208 | SANCHEZ | LARENCE | | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1548492051 | SANDOVAL | ALICIA | L | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1881079697 | SINGLETARY-MARES | SHARON | | | 700 FRIEDMAN AVE | LAS VEGAS | NM | 877014231 |
| 1194051797 | TENORIO | DARLA | RAE | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1467967190 | VALDEZ | ANDREW | P | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
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