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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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KABRICK, EDWARD PAUL
Practice Address: 12201 PORTLAND AVE
OKLAHOMA CITY OK 73120

Address last updated on 8/15/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 65
Dated: 1/24/1991
Expires: 8/31/2024
Temp. Ltr. Issued: 6/30/2011
Temp. Ltr. Expires: 9/16/2011
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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:
12201 PORTLAND AVE
OKLAHOMA CITY OK 73120

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SEETHAL RAO MADHAVARAPU MD 23053

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