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SHINTAKU, KELLI ANN ETSUKO       
Practice Address: BOKEN ARROW MEDICAL CENTER
3000 S ELM PLACE
BROKEN ARROW OK 74012
Phone #:
Fax #:
County: TULSA
License: 2787
Dated: 7/31/1998
Expires: 1/31/2000
Temp. Ltr. Issued: 6/25/1998
Temp. Ltr. Expires: 9/26/1998
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:
BOKEN ARROW MEDICAL CENTER
3000 S ELM PLACE
BROKEN ARROW OK 74012

Phone #:
Fax #:

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