Search › Oklahoma › 175T00000X
Sable Bomboy
NPI 1548980774 · on the registry since 2022
Practice
- Address
- 604 S Walnut St
Stillwater, OK 74074 - Phone
- (844) 458-2100
- Organisation at this address
- Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2025-01-17
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