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MAST, BENJAMIN ALAN
Practice Address: HILLCREST NURSING HOME
1105 EAST MAIN
TISHOMINGO OK 73460

Address last updated on 10/10/2002
Phone #: (580) 371-0301
Fax #:
County: JOHNSTON
License: 724
Dated: 11/9/2001
Expires: 10/31/2004
Temp. Ltr. Issued: 10/3/2001
Temp. Ltr. Expires: 1/19/2002
License Type: Occupational Therapy Assistant
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:
HILLCREST NURSING HOME
1105 EAST MAIN
TISHOMINGO OK 73460

Phone #: (580) 371-0301
Fax #:

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