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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, July 19, 2018 5:17 PM CDT
Next Update: Friday, July 20, 2018 2:50 AM CDT

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LONG, TRAVIS KYLE
Practice Address: 632 W. OKLAHOMA AVE
OKARCHE OK 73762

Address last updated on 7/27/2017
Phone #: (405) 623-7300
Fax #: (405) 623-7515
County: OKLAHOMA
License: 486
Dated: 3/11/2010
Expires: 8/31/2010
Temp. Ltr. Issued: 9/17/2009
Temp. Ltr. Expires: 3/12/2010
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
632 W. OKLAHOMA AVE
OKARCHE OK 73762

Phone #: (405) 623-7300
Fax #: (405) 623-7515

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