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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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MILLER, JAN MARIE       
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: LAWTON COMMUNITY HEALTH CLINIC
5404 SW LEE BLVD
LAWTON OK 73505

Address last updated on 10/28/2024
Phone #: (580) 355-5242
Fax #: (580) 355-5245
County: COMANCHE
License: 574
Dated: 5/11/1989
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:
LAWTON COMMUNITY HEALTH CLINIC
5404 SW LEE BLVD
LAWTON OK 73505

Phone #: (580) 355-5242
Fax #: (580) 355-5245

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