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IDLEMAN, DANIELLE PAULINE
Practice Address: MERCY HOSPITAL ARDMORE
1011 14TH AVE N.W.
ARDMORE OK 73401

Address last updated on 9/25/2014
Phone #: (580) 220-6313
Fax #:
County: CARTER
License: 4205
Dated: 11/6/2014
Expires: 11/30/2016
Temp. Ltr. Issued: 9/26/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
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:
MERCY HOSPITAL ARDMORE
1011 14TH AVE N.W.
ARDMORE OK 73401

Phone #: (580) 220-6313
Fax #:

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