SOUTHARD, MARY NELL - Licensee Information

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Next Update: Thursday, May 9, 2024 4:30 PM CDT

SOUTHARD, MARY NELL View on

Practice Address:	CHOCTAW NATION INDIAN HOSPITAL ONE CHOCTAW WAY TALIHINA OK 74571-2022 Address last updated on 10/25/2017
Phone #:	(918) 415-4980
Fax #:	(918) 567-7124
County:	LEFLORE
License:	119
Dated:	11/3/1984
Expires:	10/31/2018
License Type:	Licensed Dietitian
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:
CHOCTAW NATION INDIAN HOSPITAL ONE CHOCTAW WAY TALIHINA OK 74571-2022 Phone #: (918) 415-4980 Fax #: (918) 567-7124

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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