NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1225032998
GRUBER
MICHAEL
DAVID
1970 E 3RD AVE
DURANGO
CO
813015056
1992099048
JORDAN
NAN
JEANNE
1970 E 3RD AVE STE 102
DURANGO
CO
813015025
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