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Next Update: Thursday, May 2, 2024 2:50 AM CDT

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KENNEDY, SHANNON GAIL
Practice Address: CHICKASAW NATION/WIC SERVICES
ARRLINGTON AT MISSISSIPPI
BOX 1548
ADA OK 74820
Phone #:
Fax #:
County: PONTOTOC
License: 199
Dated: 6/25/1993
Expires: 10/31/1994
Temp. Ltr. Issued: 8/20/1992
Temp. Ltr. Expires: 2/27/1993
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Void
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:
CHICKASAW NATION/WIC SERVICES
ARRLINGTON AT MISSISSIPPI
BOX 1548
ADA OK 74820

Phone #:
Fax #:

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