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AMBROSE, MARTHA E       
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: COON MEMORIAL HOSPITAL
1411 DENVER
DALHART TX 79022-4212
Phone #: (806) 244-4571
Fax #:
County: NOT OKLAHOMA
License: 709
Dated: 7/11/1977
Expires: 1/31/2003
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:
COON MEMORIAL HOSPITAL
1411 DENVER
DALHART TX 79022-4212

Phone #: (806) 244-4571
Fax #:

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