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CLARK, NORMA RUTH
Practice Address: MANTIS CORP
100 ROSWELL SUMMIT
SUITE 200
ROSWELL GA 30076
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 416
Dated: 7/10/1997
Expires: 10/31/1999
Temp. Ltr. Issued: 4/11/1997
Temp. Ltr. Expires: 7/24/1997
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
MANTIS CORP
100 ROSWELL SUMMIT
SUITE 200
ROSWELL GA 30076

Phone #:
Fax #:

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