NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1306006143 | ADAMS | OLIXN | LEE |   | 23400 US HIGHWAY 160 | WALSENBURG | CO | 81089 |
1245293075 | BOYNTON | STEVEN | EDWARD |   | 23400 US HIGHWAY 160 | WALSENBURG | CO | 810898100 |
1508889049 | CAMPBELL | KAREN | D |   | 23400 US HIGHWAY 160 | WALSENBURG | CO | 810898100 |
1285929513 | DUTTON | DONALD | WAYNE |   | 23500 US HIGHWAY 160 | WALSENBURG | CO | 810899524 |