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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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MOORE, RACHEL ANN
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Practice Address: |
REVIVE CLINIC LLC
13316 S. WESTERN
SUITE F
OKLAHOMA CITY OK 73170
Address last updated on 3/30/2024 |
Phone #: |
(405) 703-8882 |
Fax #: |
(405) 237-3799 |
County: |
CLEVELAND |
License: |
1709 |
Dated: |
4/1/2008 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
1/17/2008 |
Temp.
Ltr.
Expires:
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5/17/2008 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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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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Hospital Privileges:
None listed
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