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Shelley Waggoner
NPI 1417299447 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6333 E Skelly Dr
Tulsa, OK 74135 - Phone
- (918) 633-2442
- Organisation at this address
- 12&12 Inc
12 And 12 Inc
Addiction Medical Specialists Llc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 404
Registry record
- Primary taxonomy
- Specialist
174400000X
- Sex
- Female
- Record last updated
- 2013-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma