BAKER, JEREMY RONALD - Licensee Information

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BAKER, JEREMY RONALD

Practice Address:	EDMOND PHYSICAL THERAPY & SPORTS MEDICINE 900 NE 10TH OKLAHOMA CITY OK 73104 Address last updated on 4/17/2002
Phone #:
Fax #:
County:	OKLAHOMA
License:	212
Dated:	11/12/1998
Expires:	8/31/2003
Temp. Ltr. Issued:	10/23/1998
Temp. Ltr. Expires:	11/16/1998
License Type:	Athletic Trainer
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
EDMOND PHYSICAL THERAPY & SPORTS MEDICINE 900 NE 10TH OKLAHOMA CITY OK 73104 Phone #: Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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