ProviderBusinessMailingAddressFaxNumber = '9189990109'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528562246 | DYER | LORI | | | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
| 1568838597 | FOUTCH | MISTY | | | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
| 1528516424 | GARRETT | TERRI | | | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
| 1164930822 | HAMLET | ANDREA | | | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
| 1194063610 | MILES | ALISA | ANN | | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
| 1871052423 | PATTERSON | LAURA | DARLENE | | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
| 1487180022 | PIERCE | ZACH | | | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
| 1275051708 | WELLS | LEXIE | JO | | 26243 STATE HIGHWAY 51 | WAGONER | OK | 744678740 |
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