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Last Update: Thursday, May 2, 2024 10:58 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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SMITH, MICAH
Practice Address: 6929 S SOONER ROAD
APT #30201
OKLAHOMA CITY OK 73135

Address last updated on 3/5/2024
Phone #: (405) 209-3449
Fax #:
County: OKLAHOMA
License: 817
Dated: 7/12/2021
Expires: 10/31/2021
Temp. Ltr. Issued: 6/3/2021
Temp. Ltr. Expires: 7/29/2021
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:
6929 S SOONER ROAD
APT #30201
OKLAHOMA CITY OK 73135

Phone #: (405) 209-3449
Fax #:

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