NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1346227113 | DAVIS | MITCHELL | RYAN |   | 1921 STONECIPHER BLVD | ADA | OK | 748203439 |
1699855296 | FILLMORE | LISA |   |   | 1001 N COUNTRY CLUB RD | ADA | OK | 748202847 |
1902885817 | FREELAND | TRUDI | L. |   | 1921 STONECIPHER BLVD | ADA | OK | 748203439 |
1760563050 | HIGDON | DOLORES |   |   | 1001 N COUNTRY CLUB RD | ADA | OK | 748202847 |
1821076126 | MASON | MICHAEL | R |   | 1921 STONECIPHER BOULEVARD | ADA | OK | 748203439 |
1922189810 | PRINCE | LAURA |   |   | 1001 N COUNTRY CLUB RD | ADA | OK | 748202847 |
1871664318 | STICK | TARA |   |   | 1001 N COUNTRY CLUB RD | ADA | OK | 748202847 |
1851462303 | WORK | HUGH |   |   | 1001 N COUNTRY CLUB RD | ADA | OK | 748202847 |