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BODEN, BRIAN T
Practice Address: No Current Practice Address
Address last updated on 12/2/2008
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1391
Dated: 11/4/2004
Expires: 3/31/2009
Temp. Ltr. Issued: 10/22/2004
Temp. Ltr. Expires: 11/4/2004
License Type: Physician Assistant
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:
No Current Practice Address
Phone #:
Fax #:

Hospital Privileges:

None listed

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