NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1912917949 | CLARK | MARY | JOHANNA |   | 2121 NORTH AVE | GRAND JUNCTION | CO | 815016428 |
1134139579 | LASLEY | MARY | HELEN |   | 2121 NORTH AVE | GRAND JUNCTION | CO | 815016428 |
1417303066 | PSENDA | PETER |   |   | 2121 NORTH AVE | GRAND JUNCTION | CO | 815016428 |
1194757245 | WATERS | ELIZABETH | ANN |   | 2121 NORTH AVE | GRAND JUNCTION | CO | 815016428 |