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SOUTH, TRENTON WAYNE
Practice Address: 3500 E FRANK PHILLIPS
BARTLESVILLE OK 74006

Address last updated on 11/29/2015
Phone #:
Fax #:
County: WASHINGTON
License: 257
Dated: 8/28/1998
Expires: 2/2/1999
Temp. Ltr. Issued: 6/11/1998
Temp. Ltr. Expires: 9/26/1998
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
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:
3500 E FRANK PHILLIPS
BARTLESVILLE OK 74006

Phone #:
Fax #:

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