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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, October 31, 2014 2:48 PM CDT
Next Update: Friday, October 31, 2014 4:30 PM CDT

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HANSEN, TRACY KIRSTEN
Practice Address: MERCY MEMORIAL HEALTH CENTER
1011 14TH AVE NW
ARDMORE OK 73401

Address last updated on 9/22/2005
Phone #: (580) 220-6551
Fax #:
County: CARTER
License: 959
Dated: 1/25/1996
Expires: 1/31/2012
Temp. Ltr. Issued: 11/19/2004
Temp. Ltr. Expires: 9/24/2005
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year:
Disciplinary History: No Disciplinary Action Taken.
Locations: Hours: Languages:
MERCY MEMORIAL HEALTH CENTER
1011 14TH AVE NW
ARDMORE OK 73401

Phone #: (580) 220-6551
Fax #:

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