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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Tuesday, January 16, 2018 12:00 PM CST

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AUGUSTINE, DIANNE MARIE
Practice Address: 3811 WEST GORE BLVD
SUITE 7
LAWTON OK 73507
Phone #:
Fax #:
County: COMANCHE
License: 36
Dated: 6/10/1997
Expires: 12/31/1999
License Type: Perfusionist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
3811 WEST GORE BLVD
SUITE 7
LAWTON OK 73507

Phone #:
Fax #:

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