NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1427210590 |   |   |   | UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. | UNIVERSITY OF NEW MEXICO SCHOOL BASED HEALTH CTRS | ALBUQUERQUE | NM | 871310001 |
1518129683 |   |   |   | UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. | UNIVERSITY OF NEW MEXICO SCHOOL BASED HEALTH CTR | ALBUQUERQUE | NM | 871310001 |
1083649065 | BLAISDELL | SHAWN |   |   | 933 BRADBURY DR SE | ALBUQUERQUE | NM | 871064374 |
1457401366 | HARTLEY | SHAUNA |   |   | 933 BRADBURY DR SE | ALBUQUERQUE | NM | 871064374 |