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Oklahoma Board of Medical Licensure and Supervision

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HARRIS, MINDY DAWN       
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: 1611 MAIN SUITE 103
WOODWARD OK 73801

Address last updated on 12/29/2011
Phone #: (580) 254-9275
Fax #:
County: WOODWARD
License: 3159
Dated: 5/5/2005
Expires: 1/31/2013
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
1611 MAIN SUITE 103
WOODWARD OK 73801

Phone #: (580) 254-9275
Fax #:

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