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Next Update: Saturday, April 20, 2024 2:50 AM CDT

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MANCILLAS-LOVELESS, MARY DOLORES
Practice Address: 3026 4TH AVE SOUTH
GREAT FALLS MT 59405

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 321
Dated: 6/30/1994
Expires: 1/31/1998
Temp. Ltr. Issued: 4/14/1994
Temp. Ltr. Expires: 7/23/1994
License Type: Physical Therapist Assistant
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:
3026 4TH AVE SOUTH
GREAT FALLS MT 59405

Phone #:
Fax #:

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