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MOONEY, JAMES MICHAEL JR
Practice Address: FAIRVIEW REGIONAL MEDICAL CENTER
523 EAST STATE ROAD
FAIRVIEW OK 73737-1453

Address last updated on 11/3/2011
Phone #: (508) 227-1370
Fax #:
County: MAJOR
License: 2046
Dated: 11/3/2011
Expires: 3/31/2012
Temp. Ltr. Issued: 10/21/2011
Temp. Ltr. Expires: 11/4/2011
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:
FAIRVIEW REGIONAL MEDICAL CENTER
523 EAST STATE ROAD
FAIRVIEW OK 73737-1453

Phone #: (508) 227-1370
Fax #:

Hospital Privileges:

None listed

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