NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1508998899
STAEHELI
BRUCE
WAYNE
PO BOX 2467
ELK CITY
OK
736482467
1114959905
WHU
MAYBELLE
S
PO BOX 2467
ELK CITY
OK
736482467
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