NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679850614 | FERRISI | DAWN | M |   | 902 E LINCOLN RD | IDABEL | OK | 747457337 |
1346628088 | GIBSON | DWALA |   |   | 902 E LINCOLN RD | IDABEL | OK | 747457337 |
1740259407 | HANNAH | PHYLLIS | DECARNELLE |   | 902 E LINCOLN RD | IDABEL | OK | 747457337 |
1558462341 | SHELTON | KELLI | MARIE |   | 705 SE INDIAN RD | IDABEL | OK | 747456439 |
1215298542 | TRENT | CANDI | DAWN |   | 902 E LINCOLN RD | IDABEL | OK | 747457337 |