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DOMINGO, MIGUEL ISLETA       
Practice Address: MARIAN HANCOCK MEDICAL CLINIC
220 SOUTH PALISADE DRIVE
SUITE 100
SANTA MARIA CA 93454
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18243
Dated: 9/12/1992
Expires: 9/1/1996
Temp. Lic. Issued: 6/27/1991
Temp. Lic. Expires: 9/30/1992
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1983
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MARIAN HANCOCK MEDICAL CLINIC
220 SOUTH PALISADE DRIVE
SUITE 100
SANTA MARIA CA 93454

Phone #:
Fax #:

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