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JACKSON, VIVIAN ANNETTE
Practice Address: ATOKA MEMORIAL HOSPITAL
1501 S VIRGINIA
ATOKA OK 74525
Phone #:
Fax #:
County: ATOKA
License: 123
Dated: 9/23/1996
Expires: 11/1/1998
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Void
Restricted to:
CME Year:
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:
ATOKA MEMORIAL HOSPITAL
1501 S VIRGINIA
ATOKA OK 74525

Phone #:
Fax #:

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