NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1467460931 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1851582738 | JAMES | STEPHEN | B |   | 114 W DELAWARE AVE | NOWATA | OK | 74048 |
1861683740 | JENKINS | AMY | M |   | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1396936761 | JIM | REBECCA | CATHERINE |   | 114 W DELAWARE | NOWATA | OK | 74048 |
1902463193 | JONES | JILL |   |   | 3100 MEDICAL PKWY | CLAREMORE | OK | 740171088 |
1235320102 | LOPEZ | AUDREY | VICTORIA |   | 114 W DELAWARE AVE | NOWATA | OK | 74048 |
1427703842 | RALEIGH | MEGAN | NICOLE |   | 405 E EXCELSIOR AVE | VINITA | OK | 743014226 |
1255522132 | TALLMAN | CONNIE | R |   | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1285825166 | THAYER | RICK | W |   | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1114118999 | YIRSA | BRENDA | L |   | 114 W DELAWARE AVE | NOWATA | OK | 74048 |