NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1205175346
ALEXANDER-BRADFORD
TISHA
DAWN
9274 FREEDOM RD
SAPULPA
OK
740662192
1376971069
LOVE
JORDAN
2001 S GARNETT RD STE G
TULSA
OK
741281838
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