NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1376173443 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1689165631 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1750915187 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1528562246 | DYER | LORI |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1568838597 | FOUTCH | MISTY |   |   | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
1528516424 | GARRETT | TERRI |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1851869036 | HARDCASTLE | JESSICA | LOUISE |   | 507 NE 11TH ST | WAGONER | OK | 744671906 |
1871052423 | PATTERSON | LAURA | DARLENE |   | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
1487180022 | PIERCE | ZACH |   |   | 26243 HIGHWAY 51 | WAGONER | OK | 744678740 |
1275051708 | WELLS | LEXIE | JO |   | 26243 STATE HIGHWAY 51 | WAGONER | OK | 744678740 |