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BOURNE, NATALIE NICOLE
Practice Address: ST. JOHN SIEGFRIED HEALTH CLUB
1819 E 19TH ST
TULSA OK 74104

Address last updated on 3/17/2017
Phone #: (918) 744-3392
Fax #: (918) 744-2610
County: TULSA
License: 1885
Dated: 11/1/2012
Expires: 10/31/2017
Temp. Ltr. Issued: 8/3/2012
Temp. Ltr. Expires: 11/9/2012
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
ST. JOHN SIEGFRIED HEALTH CLUB
1819 E 19TH ST
TULSA OK 74104

Phone #: (918) 744-3392
Fax #: (918) 744-2610

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