| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033394861 | TEDOMER LLC | 3720 CHURCH ROCK RD | GALLUP | NM | 873014572 | |||
| 1174240980 | JONES | MICHELLE | 3720 CHURCH ROCK ST | GALLUP | NM | 873014572 | ||
| 1578199824 | PEREZ | GABE | E. | 3720 CHURCH ROCK ST | GALLUP | NM | 873014572 |