DOMINGO, MITZIE MARION COLET - Licensee Information

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DOMINGO, MITZIE MARION COLET

Practice Address:	RED RIVER REHAB/FOUR SEASONS NURSING CENTER 1212 FOUR SEASONS DR DURANT OK 74701 Address last updated on 9/18/2007
Phone #:	(580) 931-9218
Fax #:
County:	BRYAN
License:	1516
Dated:	6/29/2007
Expires:	10/31/2008
Temp. Ltr. Issued:	4/19/2007
Temp. Ltr. Expires:	7/21/2007
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:
RED RIVER REHAB/FOUR SEASONS NURSING CENTER 1212 FOUR SEASONS DR DURANT OK 74701 Phone #: (580) 931-9218 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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