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PORCARO, CHARLOTTE |
| Practice Address: |
CN SAM HIDER COMMUNITY CLINIC
1015 W. WASHBOURNE ST
JAY OK 74464
Address last updated on 10/7/2014 |
| Phone #: |
(918) 253-4271 x237 |
| Fax #: |
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| County: |
DELAWARE |
| License: |
645 |
| Dated: |
7/12/2012 |
| Expires: |
10/31/2014 |
|
Temp.
Ltr.
Issued:
|
5/4/2012 |
|
Temp.
Ltr.
Expires:
|
7/12/2012 |
| License Type: |
Provisional Dietitian |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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