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HOLLAND, KIMI MARIE
Practice Address: ST. LUKE'S MEDICAL CENTER
1210 NW 16TH ST.
FRUITLAND ID 83619

Address last updated on 5/5/2016
Phone #: (208) 452-9806
Fax #:
County: NOT OKLAHOMA
License: 2354
Dated: 11/20/2003
Expires: 11/30/2015
Temp. Ltr. Issued: 10/2/2003
Temp. Ltr. Expires: 11/22/2003
License Type: Respiratory Care Practitioner
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:
ST. LUKE'S MEDICAL CENTER
1210 NW 16TH ST.
FRUITLAND ID 83619

Phone #: (208) 452-9806
Fax #:

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