ProviderBusinessMailingAddressFaxNumber = '5055525473'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1255517801	BARRETT	MICHAEL	CHRISTOPHER		PO BOX 130	SAN FIDEL	NM	870490130
1104096171	BOWLIN	ROBERT	B		PO BOX 130	SAN FIDEL	NM	870490130
1275719866	DEVORE	JOHNNY			EXIT 102 OFF I - 40 1/2 MI SOUTH	SAN FIDEL	NM	870490130
1376713651	GALLEGOS	JEREMEY	A		PO BOX 130	SAN FIDEL	NM	870490130
1386821023	GALLEGOS	VALERIEG			EXIT 102 OFF I - 40 1/2 MI SOUTH	SAN FIDEL	NM	870490130
1285810879	HAYNES	RODGER	K		EXIT 102 OFF I - 40 1/2 MI SOUTH	SAN FIDEL	NM	870490130
1538345129	HOLLOWAY	ROBERT			EXIT 102 OFF I - 40 1/2 MI SOUTH	SAN FIDEL	NM	870490130
1700062387	JONES	TAMMY	S		EXIT 102 OFF I - 40 1/2 MI SOUTH	SAN FIDEL	NM	870490130
1083828453	LEE	EDWINA	FAYE		PO BOX 130	SAN FIDEL	NM	870490130
1154592517	MACKEY	JACKIE	A		PO BOX 130	SAN FIDEL	NM	870490130
1588750848	MORNINGSTAR	WILLIAM	GEORGE		EXIT 102 I-40 SOUTH 1/2 MI	SAN FIDEL	NM	87049
1003902362	ORTIZ	LORI	ANN		PO BOX 130	SAN FIDEL	NM	87049
1619182821	SALINAS	MELISSA	M		PO BOX 130	SAN FIDEL	NM	870490130
1881870426	THIERRY	JUDITH			PO BOX 130	SAN FIDEL	NM	870490130

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