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BALLINGER, JACK JASON
Practice Address: 1011 14TH AVENUE NW
ARDMORE OK 73401
Phone #:
Fax #:
County: CARTER
License: 536
Dated: 11/17/1995
Expires: 11/30/1999
License Type: Respiratory Care Practitioner
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:
1011 14TH AVENUE NW
ARDMORE OK 73401

Phone #:
Fax #:

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