MOORE, DEBERA FAYE - Licensee Information

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Last Update: Friday, April 26, 2024 11:33 AM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

MOORE, DEBERA FAYE

Practice Address:	STILLWATER MEDICAL CENTER 1815 W. 6TH STREET STILLWATER OK 74074 Address last updated on 10/17/2023
Phone #:	(918) 533-3612
Fax #:
County:	PAYNE
License:	24
Dated:	4/26/1986
Expires:	10/31/1988
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:
STILLWATER MEDICAL CENTER 1815 W. 6TH STREET STILLWATER OK 74074 Phone #: (918) 533-3612 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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