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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MENDOZA, JUAN CARLOS       
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: MANGUM REGIONAL MEDICAL CENTER
1 WICKERSHAM DR
MANGUM OK 73554-9117

Address last updated on 12/2/2023
Phone #: (580) 782-3353
Fax #: (580) 782-5243
County: GREER
License: 903
Dated: 1/11/1996
Expires: 1/31/2026
License Type: Respiratory Care Practitioner
Specialty:
Status: Active
Status Class: Fully Licensed
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:
MANGUM REGIONAL MEDICAL CENTER
1 WICKERSHAM DR
MANGUM OK 73554-9117

Phone #: (580) 782-3353
Fax #: (580) 782-5243
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HOMERO AVILA RC 4035

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