ProviderBusinessMailingAddressFaxNumber = '2092245076'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710561378 | CHAVES | BRITTNEY | MARIE | | 541 S HAM LN STE A | LODI | CA | 952423530 |
| 1497040828 | CRAZY THUNDER | CLEMENT | | | 541 S HAM LN STE A&B | LODI | CA | 952423530 |
| 1851840664 | GARCIA | ABEL | E | | 441 S HAM LN STE A | LODI | CA | 952423525 |
| 1205305968 | LATORRACA | MICHAEL | JAMES | | 541 S HAM LN STE A&B | LODI | CA | 952423530 |
| 1932645009 | SANTACRUZ GARCIA | RICHARD | | | 441 S HAM LN | LODI | CA | 952423525 |
| 1548673999 | TUN | SUEHEI | LOVANNA | | 7246 REMMET AVE | CANOGA PARK | CA | 913031531 |
| 1649459546 | WHITE | KIMBERLY | ANN | | 441 S. HAM LN | LODI | CA | 95242 |
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