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PONNUSWAMY, JEEVANANDAM       
Practice Address: BEVERLY ENTERPRISES
LEISURE LODGE
700 WESTWOOD STREET
MCGEHEE AR 71654
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 931
Dated: 6/19/1998
Expires: 10/31/1999
Temp. Ltr. Issued: 6/11/1998
Temp. Ltr. Expires: 9/30/1998
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
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:
BEVERLY ENTERPRISES
LEISURE LODGE
700 WESTWOOD STREET
MCGEHEE AR 71654

Phone #:
Fax #:

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