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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, November 17, 2024 4:30 PM CST

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LONG, JOHN WALTER       
Practice Address: 3155 KEARNEY ST
SUITE 170
FREMONT CA 94538

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 10000
Dated: 6/15/1973
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1971
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.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3155 KEARNEY ST
SUITE 170
FREMONT CA 94538

Phone #:
Fax #:

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