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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT

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CLARK, ANDREA MICHELLE
Practice Address: COMANCHE COUNTY MEMORIAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Address last updated on 10/1/2023
Phone #: (580) 355-8620 x3797
Fax #:
County: COMANCHE
License: 2610
Dated: 7/12/2021
Expires: 10/31/2024
Temp. Ltr. Issued: 5/20/2021
Temp. Ltr. Expires: 7/29/2021
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
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:
COMANCHE COUNTY MEMORIAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505

Phone #: (580) 355-8620 x3797
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIA ANNE BAHASH PD 856

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