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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, February 24, 2018 5:31 AM CST
Next Update: Saturday, February 24, 2018 12:00 PM CST

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LONG, BLAINE CLETUS
Practice Address: OKLAHOMA STATE UNIVERSITY
STILLWATER OK 74078

Address last updated on 7/22/2013
Phone #: (405) 744-3670
Fax #:
County: PAYNE
License: 541
Dated: 9/18/2008
Expires: 8/31/2014
Temp. Ltr. Issued: 8/1/2008
Temp. Ltr. Expires: 3/1/2009
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
OKLAHOMA STATE UNIVERSITY
STILLWATER OK 74078

Phone #: (405) 744-3670
Fax #:

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