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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, October 15, 2018 5:24 PM CDT
Next Update: Tuesday, October 16, 2018 2:50 AM CDT

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BAXTER, BONITA NICHELLE
Practice Address: 11001 SE 95TH STREET
OKLAHOMA CITY OK 73165-9200

Address last updated on 10/10/2017
Phone #: (405) 834-0296
Fax #:
County: OKLAHOMA
License: 267
Dated: 2/20/1997
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:
11001 SE 95TH STREET
OKLAHOMA CITY OK 73165-9200

Phone #: (405) 834-0296
Fax #:

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