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HOLCOMB/GARDYJAN, JILL MARIE       
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: NEWMAN MEMORIAL HOSPITAL
905 SOUTH MAIN
SHATTUCK OK 73858-9205
Phone #: (580) 938-2551 x131
Fax #:
County: ELLIS
License: 1033
Dated: 3/8/1996
Expires: 3/31/2008
License Type: Respiratory Care Practitioner
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:
NEWMAN MEMORIAL HOSPITAL
905 SOUTH MAIN
SHATTUCK OK 73858-9205

Phone #: (580) 938-2551 x131
Fax #:

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