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PRIDEMORE, DIANE ELIZABETH
Practice Address: 1923 S. UTICA AVE
TULSA OK 74104

Address last updated on 1/20/2016
Phone #: (918) 744-2476
Fax #:
County: TULSA
License: 1140
Dated: 5/7/2003
Expires: 1/31/2017
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
1923 S. UTICA AVE
TULSA OK 74104

Phone #: (918) 744-2476
Fax #:

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