ProviderBusinessMailingAddressFaxNumber = '5805095041'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1801162425
ALLEN
TAMARA
LOU
PO BOX 52
ATOKA
OK
745250052
1194252635
WATSON
MONISE
L
PO BOX 72
CANEY
OK
745330072
1063065480
WATSON
RETA
1088 S GIN RD
ATOKA
OK
745257378
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