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Organization
GREAT PLAINS SLEEP SPECIALISTS LLC
Active
Organization
GREAT PLAINS SLEEP SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASSIDY CAGLE RPSGT (VICE PRESIDENT)
(918) 577-6963
Entity
Organization
Contact information
Practice address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 577-6963
(918) 577-6965
Mailing address
PO BOX 893, WAGONER, OK 74477-0893
(918) 577-6963
(918) 577-6965
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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