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NICHOLSON, RANDI DIANE       
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: MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120-8304

Address last updated on 7/16/2014
Phone #: (405) 752-3634
Fax #:
County: OKLAHOMA
License: 2014
Dated: 11/6/2014
Expires: 10/31/2015
Temp. Ltr. Issued: 7/17/2014
Temp. Ltr. Expires: 11/7/2014
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:
MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120-8304

Phone #: (405) 752-3634
Fax #:

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