NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1356821243	CORRALEZ	BENITO	V		4910 EMORY ST	LUBBOCK	TX	794163026
1386124287	TAN	VICTOR JULIUS	DELEON		4910 EMORY ST	LUBBOCK	TX	794163026

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