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DE-JARNETTE, TRACIE MICHELE       
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: COMANCHE COUNTY MEMORIAL HSP
1602 SW 82ND STREET
LAWTON OK 73505
Phone #:
Fax #:
County: COMANCHE
License: 20990
Dated: 12/30/1998
Expires: 12/1/1999
License Type: Medical Doctor
Specialty: Child and Adolescent Psychiatry
Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduated: 5 / 1991
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:
COMANCHE COUNTY MEMORIAL HSP
1602 SW 82ND STREET
LAWTON OK 73505

Phone #:
Fax #:

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