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KOSHAK-JOHNSON, JILL DENISE
Practice Address: ST MARY'S CENTER FOR REHAB
2123 W. WILLOW
ENID OK 73703

Address last updated on 5/16/2002
Phone #:
Fax #:
County: GARFIELD
License: 2205
Dated: 6/30/1994
Expires: 1/31/1996
Temp. Ltr. Issued: 4/21/1994
Temp. Ltr. Expires: 7/23/1994
License Type: Physical Therapist
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:
ST MARY'S CENTER FOR REHAB
2123 W. WILLOW
ENID OK 73703

Phone #:
Fax #:

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