NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1568042380 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1790450476 | BACKUS | RACHAEL | ANN |   | 407 W SOUTH AVE | PONCA CITY | OK | 746016133 |
1285368159 | CALHOUN | TERRI |   |   | 218 BURBANK LANDING RD | BURBANK | OK | 746332075 |
1184398273 | DAY | LAURA | DAWN |   | 2225 N UNION ST | PONCA CITY | OK | 746011555 |
1558953042 | JACKSON | CORIE | L |   | 2225 N UNION ST | PONCA CITY | OK | 746011555 |
1376143883 | LOPEZ | TINA | MARIE |   | 2225 N UNION ST. | PONCA CITY | OK | 746011536 |
1992276034 | MAGIN | SHELLI |   |   | 2225 N UNION ST. | PONCA CITY | OK | 746011536 |
1215335716 | MCGILVREY | MORGAN | MACKENZIE |   | 2225 N UNION ST | PONCA CITY | OK | 746011536 |
1720282320 | OGDEN | GREG | D |   | 2225 N UNION ST | PONCA CITY | OK | 746011555 |
1700533817 | PEMBERTON- BONEWELL | BAYLEE | MORGAN |   | 407 W SOUTH AVE | PONCA CITY | OK | 746016133 |
1467677492 | SIMPSON | LEE | HALVOR |   | 2225 N UNION ST. | PONCA CITY | OK | 746011536 |
1306341557 | TURNEY | JENNIFER | D |   | 2225 N UNION ST. | PONCA CITY | OK | 746011536 |
1821402421 | VAUGHN | APRIL | D |   | 2225 N UNION ST | PONCA CITY | OK | 746011536 |