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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 17, 2018 11:50 AM CST
Next Update: Monday, December 17, 2018 4:30 PM CST

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BUNNEY, CRYSTAL BROOK
Practice Address: 15336 EAST 470 ROAD
CLAREMORE OK 74017

Address last updated on 11/27/2018
Phone #: (918) 557-0022
Fax #:
County: OKLAHOMA
License: 416
Dated: 11/1/2002
Expires: 10/31/2003
Temp. Ltr. Issued: 8/23/2002
Temp. Ltr. Expires: 10/31/2002
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:
15336 EAST 470 ROAD
CLAREMORE OK 74017

Phone #: (918) 557-0022
Fax #:

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