NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1205466372 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1407228752 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1689165631 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1912531344 |   |   |   | GRAND LAKE MENTAL HEALTH CENTER, INC. | 114 W DELAWARE AVE | NOWATA | OK | 740482601 |
1740623537 | BAKER | JENNIFER | A |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |
1144727009 | BUNCH | GREGORY | WAYNE |   | 106 W MAPLE ST | STILWELL | OK | 749603100 |
1548759327 | CADDELL | HOLLY |   |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |
1326516022 | CLINTON | RACHEL | ELIZABETH |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |
1528562246 | DYER | LORI |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1679083166 | FOX | KARYN | ELIZABETH |   | 3005 S ASH CT | BROKEN ARROW | OK | 740127806 |
1528516424 | GARRETT | TERRI |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1558858522 | GIFFORD | AMY | RENEE |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1366918914 | HAYNES | GERTRUDE | GRACE |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1194221507 | HUDSON | CHANDRA |   |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1497282065 | JOHNSON | MICHAEL | E |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1841734753 | MARTIN | DAWN |   |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1194245340 | MASON | ELIZABETH | LANE |   | 28849 E 749 RD | WAGONER | OK | 744676847 |
1316360654 | MILLER | DIANA |   |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1396104030 | PATTERSON | CHARLA |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1477959005 | PATTERSON | LEAHA |   |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1083127070 | PENTLAND | RACHEL |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1437667821 | PETTUSJ | JENNIFER | LYNN |   | 110 W MAPLE ST | STILWELL | OK | 749603100 |
1376900662 | PHILLIPS | AUBRE |   |   | 3186 W HWY 412 | WEST SILOAM SPRINGS | OK | 743381356 |
1215447057 | SARVER | LINDSEY |   |   | 2109 S HIGHWAY 69 | WAGONER | OK | 744679310 |
1720560261 | SHADE | MICHELLE | RENEE |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |
1952804106 | STRICKER | KRISTINA |   |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |
1326558008 | WHIPPLE | STEPHANIE | JOLENE |   | 1323 W KEETOOWAH ST | TAHLEQUAH | OK | 744643462 |