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Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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

Address last updated on 8/31/2019
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
Pending and/or Past Disciplinary Actions: 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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