NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1457993834 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER INC | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1477134211 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1598305211 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1831602507 | BACKORA | MICHAEL | STEVEN |   | 401 W. MAIN ST. | BARNSDALL | OK | 740026631 |
1982202438 | BLACKBURN | SCOTT | ALEXANDER |   | 325 S ASH ST | NOWATA | OK | 740484628 |
1912620410 | BRUTON | KAMOLA |   |   | 124 E 6TH ST | PAWHUSKA | OK | 74056 |
1366565905 | CHANEY | GWYNETTE | MARIA |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1629741749 | CRASE | CALLIE | JORDAN |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1669196614 | FRYE | DARIENNE | LA'SHAE |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1811415656 | GARNER | SAMANTHA | RAE |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1528739877 | GULLO | JOANN | ROSE |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1841946498 | LONG | MANDY | M |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1114510617 | MCKAY | GEORGELINE | L |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1366060972 | MCLAUGHLIN | ERIN |   |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1548920523 | SNELL | ARLEATA | JO |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |
1275278459 | SPENCER | MELISSA | R |   | 124TH. EAST 6TH. STREET. | PAWHUSKA | OK | 74056 |
1700152238 | WEAVER | KELLI | JO DAWN |   | 124 E 6TH ST | PAWHUSKA | OK | 740564204 |