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MASTROIANNI, AUTUMN LYNN       
Practice Address: MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA
1800 UNIVERSITY BLVD
DURANT OK 74701

Address last updated on 9/28/2007
Phone #: (580) 931-2020 x3356
Fax #:
County: BRYAN
License: 1495
Dated: 3/15/2007
Expires: 10/31/2008
Temp. Ltr. Issued: 11/16/2006
Temp. Ltr. Expires: 3/24/2007
License Type: Licensed Dietitian
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:
MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA
1800 UNIVERSITY BLVD
DURANT OK 74701

Phone #: (580) 931-2020 x3356
Fax #:

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