| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1912930942 | HOOD | ROBYN | RACHELLE | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 | |
| 1710905039 | POE | SEAN | WAYNE | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 | |
| 1174862783 | SAMEDI | EMMANUEL | 100 S BLISS AVE | TAHLEQUAH | OK | 744642512 |