ProviderBusinessMailingAddressFaxNumber = '5057221421'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1558305102	ELLIOTT	JEFFREY	LANCE		PO BOX 1337	GALLUP	NM	873051337
1821080599	JONES	DARIA	D		P.O. BOX 1337	GALLUP	NM	873051337
1245215938	KENDRICKS	LORETTA			P.O. BOX 1337	GALLUP	NM	873051337
1023118056	KOVACH	IRIS	R		P.O. BOX 1337	GALLUP	NM	873051337
1619910080	MEDINA	EDWARD	ROBLES		PO BOX 1337	GALLUP	NM	873051337
1790768778	PIERCE	STEPHEN	LEWIS		P.O. BOX 1337	GALLUP	NM	873051337
1639113228	RIVERA REVERON	EUGENIO			P.O. BOX 1337	GALLUP	NM	873051337
1295723963	ROBINSON	MICHAEL	LEE		P.O. BOX 1337	GALLUP	NM	873051337
1013184654	ROSSINI	JUAN	PABLO		PO BOX 1337	GALLUP	NM	873051337
1558418905	SALVADOR	EUGENE	Q		PO BOX 1337	GALLUP	NM	873051337
1386644052	WHITAKER	DOROTHY			PO BOX 1337	GALLUP	NM	873051337

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