| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417323254 | DIXON | HALEY | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 | ||
| 1699204792 | EDWARDS | CORTEZ | DE'ANGELO | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 | |
| 1568838597 | FOUTCH | MISTY | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 | ||
| 1164930822 | HAMLET | ANDREA | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 | ||
| 1871052423 | PATTERSON | LAURA | DARLENE | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 | |
| 1275051708 | WELLS | LEXIE | JO | 26243 STATE HIGHWAY 51 | WAGONER | OK | 744678740 |