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TERADA, KEITA       
Practice Address: NORTHEASTERN STATE UNIVERSITY
600 N GRAND AVE
TAHLEQUAH OK 74464

Address last updated on 8/30/2010
Phone #: (918) 944-3970
Fax #:
County: CHEROKEE
License: 585
Dated: 9/17/2009
Expires: 8/31/2011
Temp. Ltr. Issued: 9/4/2009
Temp. Ltr. Expires: 9/18/2009
License Type: Athletic Trainer
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:
NORTHEASTERN STATE UNIVERSITY
600 N GRAND AVE
TAHLEQUAH OK 74464

Phone #: (918) 944-3970
Fax #:

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