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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GONZALES, DANIELLE RENEE       
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: DIETITIAN ON A MISSION
10400 N VINEYARD BLVD
SUITE A
OKLAHOMA CITY OK 73120

Address last updated on 10/11/2020
Phone #: (405) 550-2899
Fax #:
County: OKLAHOMA
License: 796
Dated: 7/28/2020
Expires: 10/31/2021
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
DIETITIAN ON A MISSION
10400 N VINEYARD BLVD
SUITE A
OKLAHOMA CITY OK 73120

Phone #: (405) 550-2899
Fax #:

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