ProviderBusinessMailingAddressFaxNumber = '6127292616'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699900860 | GILBERT | JANET | MARIS | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1508309741 | HENRICH | KRISTA | LEANNE | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1548685456 | JOHNSTON | SARAH | MARIE | | 414 S 8TH ST | MINNEAPOLIS | MN | 554041025 |
| 1972800753 | KELLY | KATHLEEN | | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1184943532 | NELSON | CINDY | | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1518205681 | ROSARIO | LUCILLE | | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1699965400 | WALKER | ARLENE | YVETTE | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
| 1700187887 | WALKER | EMILY | JEAN | | 4123 E LAKE ST | MINNEAPOLIS | MN | 554062255 |
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