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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, October 18, 2018 3:21 AM CDT
Next Update: Thursday, October 18, 2018 12:00 PM CDT

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CARROLL, NICOLE A
Practice Address: OKLA ST HLTH DEPT
2401 NW 23RD #70
OKLAHOMA CITY OK 73107-2419

Address last updated on 10/2/2018
Phone #: (888) 655-2942 x50026
Fax #:
County: OKLAHOMA
License: 257
Dated: 7/16/1996
Expires: 10/31/1997
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
OKLA ST HLTH DEPT
2401 NW 23RD #70
OKLAHOMA CITY OK 73107-2419

Phone #: (888) 655-2942 x50026
Fax #:

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