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Oklahoma Board of Medical Licensure and Supervision

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MILLER, MARLEY REBECCA
Practice Address: VIA CHRISTI AT HOME
1209 E PROSPECT
PONCA CITY OK 74601

Address last updated on 11/4/2005
Phone #: (580) 765-8155
Fax #:
County: KAY
License: 71
Dated: 11/3/2005
Expires: 1/31/2007
Temp. Ltr. Issued: 9/1/2005
Temp. Ltr. Expires: 11/5/2005
License Type: Licensed Pedorthist
Specialty:
Status: Inactive
Status Class: Expired License
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:
VIA CHRISTI AT HOME
1209 E PROSPECT
PONCA CITY OK 74601

Phone #: (580) 765-8155
Fax #:

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