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PHENIS, LACEY RENEE
Practice Address: MERCY HEALTH CENTER
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 9/9/2004
Phone #: (405) 752-3645
Fax #:
County: OKLAHOMA
License: 828
Dated: 9/9/2004
Expires: 3/31/2005
Temp. Ltr. Issued: 7/8/2004
Temp. Ltr. Expires: 9/25/2004
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:
MERCY HEALTH CENTER
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3645
Fax #:

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