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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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STITES, STEPHANIE DIANNE       
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 TAHLEQUAH
1373 E. BOONE STREET
TAHLEQUAH OK 74464

Address last updated on 10/1/2024
Phone #: (918) 431-0665
Fax #:
County: CHEROKEE
License: 960
Dated: 1/29/1998
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 TAHLEQUAH
1373 E. BOONE STREET
TAHLEQUAH OK 74464

Phone #: (918) 431-0665
Fax #:

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