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Organization

FORT SMITH SLEEP LAB LLC

Active
Other names
DISEASE PREVENTION SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEIRDRE KLUG (OFFICE ASSISTANT)
(479) 646-2229
Entity
Organization

Contact information

Practice address
4200 JENNY LIND RD, SUITE C, FORT SMITH, AR 72901-7660
(479) 646-2229
(479) 646-1984
Mailing address
4200 JENNY LIND RD, SUITE C, FORT SMITH, AR 72901-7660
(479) 646-2229
(479) 646-1984

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/06/2010
Last updated
01/13/2012
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