ProviderBusinessMailingAddressFaxNumber = '9184583508'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699881813 | BARRETT | KARI | ELAINE | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1073844411 | COMBRINK | MARK | ALAN | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1255662656 | DAVID | DWAYNE | KEVIN | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1265875181 | DUNCAN | CALEB | JEROME | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1992008460 | FISHER | JAYSON | MIKEL | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1871824441 | MOORE | DAVID | FRANKLIN | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1215043989 | THORNTON | STACEY | ANIVA | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
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