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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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MUSTAFA, AVALON FORSYTHE       
Practice Address: COVENANT LIVING OF BIXBY
7300 E 121ST PL S
BIXBY OK 74008

Address last updated on 9/5/2024
Phone #: (847) 510-3307
Fax #:
County: TULSA
License: 2829
Dated: 6/6/2023
Expires: 10/31/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
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:
COVENANT LIVING OF BIXBY
7300 E 121ST PL S
BIXBY OK 74008

Phone #: (847) 510-3307
Fax #:

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