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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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FAWL, CODY ALLEN
Practice Address: 17501 BRAKEN DRIVE
EDMOND OK 73012-1247

Address last updated on 10/24/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 2468
Dated: 11/1/2019
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:
17501 BRAKEN DRIVE
EDMOND OK 73012-1247

Phone #:
Fax #:

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