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DAVIS, DANIELLE MARIE
Practice Address: COMANCHE MEMORIAL HOSPITAL
3401 GORE BLVD
LAWTON OK 73505
Phone #:
Fax #:
County: COMANCHE
License: 208
Dated: 9/2/1993
Expires: 10/31/1994
Temp. Ltr. Issued: 9/17/1992
Temp. Ltr. Expires: 2/27/1993
License Type: Provisional Dietitian
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:
COMANCHE MEMORIAL HOSPITAL
3401 GORE BLVD
LAWTON OK 73505

Phone #:
Fax #:

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