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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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BANDEH, GRACE ANN       
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 SOUTHCREST DIALYSIS
10921 E. 81ST
TULSA OK 74133

Address last updated on 9/3/2024
Phone #: (918) 249-8402
Fax #: (918) 459-8794
County: TULSA
License: 530
Dated: 6/20/1988
Expires: 10/31/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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 SOUTHCREST DIALYSIS
10921 E. 81ST
TULSA OK 74133

Phone #: (918) 249-8402
Fax #: (918) 459-8794

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