NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295343887 | HOLLOWAY | CARRIE | JANE |   | 405 W COUNTRY CLUB RD | ROSWELL | NM | 882015209 |
1861651218 | JONES | THERESA | J |   | 405 W COUNTRY CLUB RD | ROSWELL | NM | 882015209 |
1891776274 | MIRIN | BABAK |   |   | 405 W COUNTRY CLUB RD | ROSWELL | NM | 882015209 |
1447602834 | ODUMUSI | ARINOLA |   |   | 405 W COUNTRY CLUB RD | ROSWELL | NM | 882015209 |
1790135754 | PRINSEN | JOSEPH |   |   | 405 W COUNTRY CLUB RD | ROSWELL | NM | 882015209 |