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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, January 18, 2018 4:23 AM CST
Next Update: Thursday, January 18, 2018 12:00 PM CST

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ADE, RYAN DOUGLAS
Practice Address: FREDERICK MEDICAL CLINIC PT
319 E. JOSEPHINE
FREDERICK OK 73542

Address last updated on 12/22/2017
Phone #: (580) 335-6642
Fax #:
County: TILLMAN
License: 258
Dated: 5/11/2000
Expires: 8/31/2004
Temp. Ltr. Issued: 4/13/2000
Temp. Ltr. Expires: 5/13/2000
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
FREDERICK MEDICAL CLINIC PT
319 E. JOSEPHINE
FREDERICK OK 73542

Phone #: (580) 335-6642
Fax #:

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