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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 20, 2018 5:23 PM CST
Next Update: Wednesday, November 21, 2018 2:50 AM CST

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

Address last updated on 8/6/2018
Phone #: (405) 623-7300
Fax #: (405) 623-7515
County: OKLAHOMA
License: 608
Dated: 9/16/2010
Expires: 8/31/2019
Temp. Ltr. Issued: 5/13/2010
Temp. Ltr. Expires: 9/17/2010
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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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