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BUNDS, JACK EUGENE       
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: BAPTIST REGIONAL HEALTH CTR
1O TREATY ROAD
MIAMI OK 74354
Phone #:
Fax #:
County: OTTAWA
License: 2751
Dated: 2/2/1998
Expires: 1/31/1999
License Type: Physical 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:
BAPTIST REGIONAL HEALTH CTR
1O TREATY ROAD
MIAMI OK 74354

Phone #:
Fax #:

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