ProviderBusinessMailingAddressFaxNumber = '9183429533'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1073520102				GRAND LAKE MENTAL HEALTH CENTER, INC.	114 W DELAWARE AVE	NOWATA	OK	740482601
1548474430	ANDREWS	JERRY	LOU-BALDWIN		P.O. BOX 1346	CLAREMORE	OK	74018
1417161324	BECK	JEREMY			P.O. BOX 1346	CLAREMORE	OK	74018
1528288735	BLACK	MYRA	J		P.O. BOX 1346	CLAREMORE	OK	74018
1851511067	EGGERS	GERTRUDE	P		P.O. BOX 1346	CLAREMORE	OK	74018
1659585545	HOLT	PATRICIA	S		P.O. BOX 1346	CLAREMORE	OK	74018
1285854463	JOHNSON	PLEZIE	J		17599 SOUTH HIGHWAY 88	CLAREMORE	OK	74017
1063626968	JOHNSON	RENAE	D		P.O. BOX 1346	CLAREMORE	OK	74018
1770703985	KIRKENDOLL	ARLENE	R		P.O. BOX 1346	CLAREMORE	OK	74018
1790905909	KLAHR	JACK			P.O. BOX 1346	CLAREMORE	OK	74018
1578777488	LARKIN	CAROLE			P.O. BOX 1346	CLAREMORE	OK	74018
1306050208	PALMER	CHRIS			P.O. BOX 1346	CLAREMORE	OK	74018
1144423823	WALKER	SHIRLEY	ANN		14483 OKLAHOMA BLVD.	GLENPOOL	OK	74033
1679787576	WARREN	AARON			P.O. BOX 1346	CLAREMORE	OK	74018

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