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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, July 21, 2018 3:10 AM CDT
Next Update: Saturday, July 21, 2018 12:00 PM CDT

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BLOXOM, STACY SOTHERN
Practice Address: THE DIABETIC SHOE STORE
123 W MAIN ST
DENISON TX 75020

Address last updated on 1/31/2003
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 46
Dated: 2/1/2003
Expires: 1/31/2004
License Type: Licensed Pedorthist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
THE DIABETIC SHOE STORE
123 W MAIN ST
DENISON TX 75020

Phone #:
Fax #:

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