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Oklahoma Board of Medical Licensure and Supervision

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BUMP, MICHELLE TURNER       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: DAVITA DIALYSIS
2913 AZALEA PARK DRIVE
MUSKOGEE OK 74401

Address last updated on 7/22/2010
Phone #: (800) 424-6589
Fax #:
County: MUSKOGEE
License: 1714
Dated: 7/22/2010
Expires: 10/31/2010
Temp. Ltr. Issued: 5/5/2010
Temp. Ltr. Expires: 7/23/2010
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:
DAVITA DIALYSIS
2913 AZALEA PARK DRIVE
MUSKOGEE OK 74401

Phone #: (800) 424-6589
Fax #:

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