| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386665743 | PRODIGY FOUNDATION | PO BOX 1247 | TAHLEQUAH | OK | 744651247 | |||
| 1700928603 | PRODIGY FOUNDATION | 1024 S MUSKOGEE AVE | TAHLEQUAH | OK | 744644734 | |||
| 1679619985 | BORREMANS | TERESA | L. | 1024 S MUSKOGEE AVE | TAHLEQUAH | OK | 744644734 | |
| 1912921610 | ROBERTS | SUSAN | HOPE | PO BOX 1247 | TAHLEQUAH | OK | 744651247 |