ProviderBusinessMailingAddressFaxNumber = '9704958988'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114010915 | ALLER | SUSAN | B | | 1025 PENNOCK PL | FORT COLLINS | CO | 805243257 |
| 1457321283 | CLOWER | BENJAMIN | SUTTON | | 1025 PENNOCK PL | FORT COLLINS | CO | 805243257 |
| 1346335577 | HARTMAN | CLINTON | LEE | | 1025 PENNOCK PL STE 121 | FORT COLLINS | CO | 805243257 |
| 1083346712 | MATTHEWMAN | ANDREW | | | 1025 PENNOCK PL STE 121 | FORT COLLINS | CO | 805243257 |
| 1437501699 | ROBERTS | KIMBERLY | | | 1025 PENNOCK PL STE 121 | FORT COLLINS | CO | 805243257 |
| 1346971199 | SWANSON | TESSA | LAUREN | | 1025 PENNOCK PL STE 121 | FORT COLLINS | CO | 805243257 |
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