ProviderBusinessMailingAddressFaxNumber = '9184583610'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780797456 | BARLOW | MARTHA | MICHELLE | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1780856369 | DANIELSON | DALE | LEE | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1649551607 | ELSAGGA | MOHAMED | YOUSEF | | 100 S BLISS AVENUE | TAHLEQUAH | OK | 74464 |
| 1194996397 | RUSCO | PAMELA | KAY | | 100 S BLISS AVENUE | TAHLEQUAH | OK | 74464 |
| 1154377125 | SMALLWOOD | SHARON | C | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1124562756 | WILLIAMS | LESLIE | | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
| 1932543113 | ZUCK | LINDSAY | K | | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |
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