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JACKSON, KYLEE RENE' |
Practice Address: |
927 N 5TH ST
PONCA CITY OK 74601
Address last updated on 8/1/2023 |
Phone #: |
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Fax #: |
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County: |
KAY |
License: |
584 |
Dated: |
9/13/2012 |
Expires: |
8/31/2015 |
License Type: |
Apprentice Athletic Trainer |
Specialty: |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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