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DOMINGUEZ, HANNAH JEAN MENDEZ
Practice Address: CROWLEY RIDGE CARE CTR
16643 N OUTER RD
DEXTER MO 63841

Address last updated on 11/17/2007
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1505
Dated: 2/14/2007
Expires: 10/31/2008
Temp. Ltr. Issued: 11/16/2006
Temp. Ltr. Expires: 3/24/2007
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2008
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:
CROWLEY RIDGE CARE CTR
16643 N OUTER RD
DEXTER MO 63841

Phone #:
Fax #:

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