NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1477563021
NAKTEWA
IDELLA
YVONNE
 
100 S BLISS AVE
TAHLEQUAH
OK
744642512
1619989480
WELCH
LISA
MICHELLE
 
100 S BLISS AVE
TAHLEQUAH
OK
744642512
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