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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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GOSS, DENISE MICHELLE       
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: CHEROKEE NATION THREE RIVERS HEALTH CENTER
1001 S. 41ST ST. EAST
MUSKOGEE OK 74403-1442

Address last updated on 9/3/2024
Phone #: (918) 781-6522
Fax #: (918) 686-8398
County: MUSKOGEE
License: 876
Dated: 3/8/1996
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:
CHEROKEE NATION THREE RIVERS HEALTH CENTER
1001 S. 41ST ST. EAST
MUSKOGEE OK 74403-1442

Phone #: (918) 781-6522
Fax #: (918) 686-8398
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MEGAN NICHOLE CROWELL PD 768
ADRIENNE NICOLE ORCUTT PD 884

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