ProviderBusinessMailingAddressFaxNumber = '5054542130'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124180419 | | | | STATE OF NEW MEXICO | 3695 HOT SPRINGS BLVD. | LAS VEGAS | NM | 877019549 |
| 1437363678 | | | | STATE OF NEW MEXICO | 3695 HOT SPRINGS BLVD. | LAS VEGAS | NM | 877019549 |
| 1518294107 | | | | STATE OF NEW MEXICO | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 87701 |
| 1912918103 | | | | STATE OF NEW MEXICO | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1992867998 | | | | STATE OF NEW MEXICO | 3695 HOT SPRINGS BLVD. | LAS VEGAS | NM | 877019549 |
| 1477608453 | BAGWELL | PAUL | W. | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1447589262 | BARRELA | FELICIA | | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1891933883 | DAVIS | DOUGLAS | FREDERICK | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1457895591 | GALLARDO | MARIA | | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1063749760 | GUTIERREZ | JEANETTE | S | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1124355821 | PADILLA | SHANNON | | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1689857492 | RODDA | DEBRA | K | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1770812349 | SHEARER | CARL | J | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
| 1053594838 | STARR | SYLVIA | M | | 3695 HOT SPRINGS BLVD | LAS VEGAS | NM | 877019549 |
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