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MESA, LISA ANN
Practice Address: BROKEN ARROW PT
3341 S ELM PL
BROKEN ARROW OK 74012

Address last updated on 12/28/2008
Phone #: (918) 449-1332
Fax #:
County: TULSA
License: 828
Dated: 11/4/1999
Expires: 1/31/2010
Temp. Ltr. Issued: 9/14/1999
Temp. Ltr. Expires: 11/6/1999
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2009
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:
BROKEN ARROW PT
3341 S ELM PL
BROKEN ARROW OK 74012

Phone #: (918) 449-1332
Fax #:

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