LONG, MATTHEW MIGUEL - Licensee Information

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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

LONG, MATTHEW MIGUEL

Practice Address:	TINKER AFB - 72ND MDG 7050 S AIR DEPOT BLVD SUITE 1094 TINKER AFB OK 73145 Address last updated on 9/5/2023
Phone #:	(918) 845-7968
Fax #:
County:	OKLAHOMA
License:	2548
Dated:	11/1/2020
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:
TINKER AFB - 72ND MDG 7050 S AIR DEPOT BLVD SUITE 1094 TINKER AFB OK 73145 Phone #: (918) 845-7968 Fax #:

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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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