ProviderBusinessMailingAddressFaxNumber = '9182578560'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043371198
SMITH
COURTLAND
PRENTICE
26300 SOUTH HWY 125
AFTON
OK
74331
1124011242
STRICKLAND
LAURA
JEAN
26300 S HIGHWAY 125
AFTON
OK
743316282
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