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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST
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MERILATT, AUTUMN LEIGH
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| Practice Address: |
INTEGRIS HEALTH SW
4401 S WESTERN AVE
OKLAHOMA CITY OK 73109
Address last updated on 10/10/2024 |
| Phone #: |
(405) 651-5673 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
889 |
| Dated: |
8/9/2024 |
| Expires: |
10/31/2025 |
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Temp.
Ltr.
Issued:
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6/11/2024 |
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Temp.
Ltr.
Expires:
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9/19/2024 |
| License Type: |
Provisional Dietitian |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Provisional License |
| Restricted to: |
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| CME Year: |
0 |
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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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