NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1417177007
BARNES
BERNICE
ELEANORA
6 KNIGHTSBRIDGE PL
PUEBLO
CO
810011412
1578694378
SHEPARD
THOMAS
AKERS
4112 OUTLOOK BLVD
PUEBLO
CO
810081667
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