ProviderBusinessMailingAddressFaxNumber = '9167746456'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1801454970 | GHAMAMI | CARLA | A | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
| 1154593143 | GORBEA-COLON | JOSE | ANGEL | | 1133 COLOMA WAY | ROSEVILLE | CA | 956614480 |
| 1689860512 | HAHN | JENNIFER | ANN | | 1133 COLOMA WAY | ROSEVILLE | CA | 956614480 |
| 1659723641 | KREEGER-NIELEBECK | MICHAEL | | | 1133 COLOMA WAY | ROSEVILLE | CA | 956614480 |
| 1720361967 | MUNOZ | KATHERINE | MARIE | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
| 1043839590 | ROOKE | TORI | | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
| 1407247216 | SUMABAT | CHARISSE | | | 1133 COLOMA WAY | ROSEVILLE | CA | 956614480 |
| 1417316712 | TEDROW | CARL | ERIC | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
| 1285784561 | THAO | SEE | | | 6834 ANCHOR CIR | FAIR OAKS | CA | 956283223 |
| 1689859597 | TORRES | ISAIAS | VALDEZ | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
| 1588820948 | WILLIAMS-FLOURNOY | DORETHA | FAYE | | 1133 COLOMA WAY STE C | ROSEVILLE | CA | 956614480 |
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