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Jacob Slagle, MSBS

NPI 1942574793 · on the registry since 2012 · sole proprietor

Practice

Address
5007 Sw Country Club Dr
Lawton, OK 73505
Phone
(580) 591-1912

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
103TR0400X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-08

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