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Next Update: Friday, April 19, 2024 2:50 AM CDT
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MANGILE, KIMBERLY DAWN |
| Practice Address: |
DAVITA TAHLEQUAH DIALYSIS
1373 E. BOONE ST.
TAHLEQUAH OK 74464
Address last updated on 9/16/2019 |
| Phone #: |
(918) 431-0665 |
| Fax #: |
(918) 431-0623 |
| County: |
CHEROKEE |
| License: |
1641 |
| Dated: |
3/17/2009 |
| Expires: |
1/30/2021 |
|
Temp.
Ltr.
Issued:
|
12/23/2008 |
|
Temp.
Ltr.
Expires:
|
1/30/2009 |
| License Type: |
Licensed Dietitian |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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