NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1851596530
JACOB
ROY
G
 
602 INDIANA AVE
LUBBOCK
TX
794153364
1669411260
LILJEBLAD
EILEEN
AYE
 
PO BOX 5980
LUBBOCK
TX
794085980
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