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Last Update: Friday, May 3, 2024 11:57 AM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT
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BUSTOS AMADEI, MARA C |
| Practice Address: |
ELMBROOK HOME
1811 9TH AVE NW
ARDMORE OK 73401
Address last updated on 10/18/2023 |
| Phone #: |
(386) 507-5449 |
| Fax #: |
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| County: |
CARTER |
| License: |
2712 |
| Dated: |
7/22/2022 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
4/26/2022 |
|
Temp.
Ltr.
Expires:
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7/28/2022 |
| License Type: |
Licensed Dietitian |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| 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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