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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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NICKEL, JACQUELYN OLIVIA
Practice Address: NOURISH
3724 JEFFERSON ST.
STE 104
AUSTIN TX 78731

Address last updated on 4/19/2024
Phone #: (918) 693-7045
Fax #:
County: NOT OKLAHOMA
License: 2138
Dated: 2/19/2016
Expires: 10/31/2024
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
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:
NOURISH
3724 JEFFERSON ST.
STE 104
AUSTIN TX 78731

Phone #: (918) 693-7045
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOSHUA LYNN NOONER PD 730

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