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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 18, 2018 3:21 AM CST
Next Update: Tuesday, December 18, 2018 12:00 PM CST

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ANDERSON, TRACY SHANNON
Practice Address: PERRY PHARMACY
800 FIR STREET
PERRY OK 73077

Address last updated on 1/21/2011
Phone #: (580) 336-4474
Fax #:
County: NOBLE
License: 114
Dated: 10/19/2009
Expires: 1/31/2019
Temp. Ltr. Issued: 9/29/2009
Temp. Ltr. Expires: 11/20/2009
License Type: Licensed Pedorthist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
PERRY PHARMACY
800 FIR STREET
PERRY OK 73077

Phone #: (580) 336-4474
Fax #:

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