NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902487747 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1497211882 | BLACK | SIERRA | RAMSIE |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |
1003315078 | BOER | JENNIFER |   |   | 111 W DELAWARE | NOWATA | OK | 740482616 |
1073042420 | BRACKEN | AMBER | LYNN |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |
1356909428 | BROWN | ALEXXIS | DOMINIQUE |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1972008613 | COOK | AMANDA | J |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |
1669016580 | COY | DANIELLE | MARIE |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1790003937 | DOAN | CANDICE |   |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |
1790336667 | GARRISON | CHRYSTAL |   |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1891389250 | JOHNSON | COLTON | RAY |   | 325 S ASH ST. | NOWATA | OK | 740484628 |
1043808686 | KAY | JESSICA | ERIN |   | 325 S ASH ST. | NOWATA | OK | 740484628 |
1700321155 | LEWIS | SHERI |   |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1649660572 | MCDANIEL | KATY |   |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1942766340 | NEWELL | MALORIE | ELIZABETH |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |
1770123994 | NORBY | CATALINA | A |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1124230206 | REDDING | STEPHANIE |   |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1437745031 | SHEARHART | JUSTIN | MICHAEL |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1568945186 | WATTS | ELIZABETH | ANN |   | 111 W DELAWARE AVE | NOWATA | OK | 740482616 |