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HANSEN, TRACY KIRSTEN
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Practice Address: |
MERCY MEMORIAL HEALTH CENTER
1011 14TH AVE NW
ARDMORE OK 73401
Address last updated on 9/22/2005 |
Phone #: |
(580) 220-6551 |
Fax #: |
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County: |
CARTER |
License: |
959 |
Dated: |
1/25/1996 |
Expires: |
1/31/2012 |
Temp.
Ltr.
Issued:
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11/19/2004 |
Temp.
Ltr.
Expires:
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9/24/2005 |
License Type: |
Respiratory Care Practitioner |
Specialty: |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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