NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003456732 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1336707256 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1972831188 | BRADLEY | GLENETTA | LASCHELLE |   | 502 N 14TH ST | PERRY | OK | 730775022 |
1629798178 | EWY | CANDICE | DAWN |   | 502 N. 14TH ST | PERRY | OK | 73077 |
1851976005 | LAMUNYON | BRAXTON | M |   | 502 N 14TH ST | PERRY | OK | 730775022 |
1174131619 | MORRIS | STEPHANIE |   |   | 502 N 14TH ST | PERRY | OK | 730775022 |
1760046643 | WILSON | SARAH | RAE |   | 502 N 14TH ST | PERRY | OK | 730775022 |