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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, January 21, 2019 1:16 PM CST
Next Update: Monday, January 21, 2019 4:30 PM CST

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PENA ROSALES, MANUEL DAVID
Practice Address: 2301 LAKELAND HILLS BLVD
LAKELAND FL 33805

Address last updated on 9/7/2017
Phone #: (580) 279-4655
Fax #:
County: NOT OKLAHOMA
License: 653
Dated: 9/12/2014
Expires: 8/31/2015
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:
2301 LAKELAND HILLS BLVD
LAKELAND FL 33805

Phone #: (580) 279-4655
Fax #:

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