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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 26, 2024 4:08 AM CDT
Next Update: Sunday, May 26, 2024 12:00 PM CDT

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AVILA, HOMERO       
Practice Address: JACKSON COUNTY MEMORIAL HOSPITAL
1200 E.PECAN
ALTUS OK 73521

Address last updated on 11/10/2023
Phone #: (580) 379-5244
Fax #:
County: JACKSON
License: 4035
Dated: 11/7/2013
Expires: 11/30/2025
License Type: Respiratory Care Practitioner
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:
JACKSON COUNTY MEMORIAL HOSPITAL
1200 E.PECAN
ALTUS OK 73521

Phone #: (580) 379-5244
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JUAN CARLOS MENDOZA RC 903

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