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GREEN, ANGELA ELAINE
Practice Address: WHEATHEART NUTRITION
PO BOX 505
TONKAWA OK 74653
Phone #:
Fax #:
County: KAY
License: 174
Dated: 1/11/1992
Expires: 10/31/1992
Temp. Ltr. Issued: 10/3/1991
Temp. Ltr. Expires: 1/11/1992
License Type: Provisional Dietitian
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:
WHEATHEART NUTRITION
PO BOX 505
TONKAWA OK 74653

Phone #:
Fax #:

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