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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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PINA, FATIMA
Practice Address: 8151 S HWY 177
RED ROCK OK 74651

Address last updated on 9/11/2020
Phone #: (405) 744-6927
Fax #:
County: PAYNE
License: 553
Dated: 6/17/2008
Expires: 10/31/2008
Temp. Ltr. Issued: 5/9/2008
Temp. Ltr. Expires: 6/27/2008
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
8151 S HWY 177
RED ROCK OK 74651

Phone #: (405) 744-6927
Fax #:

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