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BUZAN, STACY DAWN       
Practice Address: SAINT ANTHONY SOUTH
2129 SW 59TH STREET
OKLAHOMA CITY OK 73119

Address last updated on 10/23/2011
Phone #: (800) 367-5690
Fax #:
County: OKLAHOMA
License: 1530
Dated: 11/1/2007
Expires: 10/31/2012
Temp. Ltr. Issued: 8/2/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
SAINT ANTHONY SOUTH
2129 SW 59TH STREET
OKLAHOMA CITY OK 73119

Phone #: (800) 367-5690
Fax #:

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