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Organization
1 STOP CPAP SHOP
Active
Organization
1 STOP CPAP SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KORY D JOHNSON RPSGT (CLINICAL SLEEP EDUCATOR)
(928) 899-6686
Entity
Organization
Contact information
Practice address
7760 E STATE ROUTE 69, C5-207, PRESCOTT VALLEY, AZ 86314-2201
(928) 899-6686
(877) 275-2212
Mailing address
7760 E STATE ROUTE 69, C5-207, PRESCOTT VALLEY, AZ 86314-2201
(928) 899-6686
(877) 275-2212
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
16-00017353
AZ
Other
Enumeration date
12/08/2016
Last updated
04/24/2017
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