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GRUNDSTROM, BRENT JAMES
Practice Address: MUSKOGEE REGIONAL MEDICAL CENTER
300 ROCKEFELLER DRIVE
MUSKOGEE OK 74401

Address last updated on 5/17/2012
Phone #: (918) 682-5501
Fax #:
County: MUSKOGEE
License: 3772
Dated: 8/29/2012
Expires: 8/31/2014
Temp. Ltr. Issued: 5/17/2012
Temp. Ltr. Expires: 9/14/2012
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:
MUSKOGEE REGIONAL MEDICAL CENTER
300 ROCKEFELLER DRIVE
MUSKOGEE OK 74401

Phone #: (918) 682-5501
Fax #:

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