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Next Update: Friday, April 26, 2024 4:30 PM CDT

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FERNAN, JUSTIN MAXWELL VISITACION
Practice Address: JACK C. MONTGOMERY VA MEDICAL CENTER
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Address last updated on 7/10/2023
Phone #:
Fax #:
County: MUSKOGEE
License: 1537
Dated: 5/6/2014
Expires: 5/31/2015
Temp. Ltr. Issued: 4/18/2014
Temp. Ltr. Expires: 5/16/2014
License Type: Provisional Respiratory Care
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:
JACK C. MONTGOMERY VA MEDICAL CENTER
1011 HONOR HEIGHTS DR.
MUSKOGEE OK 74401

Phone #:
Fax #:

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