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MILLER, MARLEY REBECCA
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| Practice Address: |
VIA CHRISTI AT HOME
1209 E PROSPECT
PONCA CITY OK 74601
Address last updated on 11/4/2005 |
| Phone #: |
(580) 765-8155 |
| Fax #: |
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| County: |
KAY |
| License: |
71 |
| Dated: |
11/3/2005 |
| Expires: |
1/31/2007 |
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Temp.
Ltr.
Issued:
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9/1/2005 |
|
Temp.
Ltr.
Expires:
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11/5/2005 |
| License Type: |
Licensed Pedorthist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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