ProviderBusinessMailingAddressFaxNumber = '9702981711'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063861748 | | | | MARILLAC CLINIC, INC. | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1093163800 | | | | MARILLAC CLINIC, INC. | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1104275882 | | | | MARILLAC CLINIC, INC | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1497103212 | | | | MARILLAC CLINIC, INC. | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1518239219 | | | | MARILLAC CLINIC, INC. | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1871865576 | | | | MARILLAC CLINIC, INC. | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1871756304 | HART | KATHRYN | LYNN | | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1831546753 | HOFFMAN | VALERIE | C | | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
| 1245795806 | MARTINEZ | STEVEN | | | 2333 N 6TH ST | GRAND JUNCTION | CO | 815012001 |
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