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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 19, 2024 6:51 PM CDT
Next Update: Friday, September 20, 2024 2:50 AM CDT

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LEATHERMAN, MYLIE BROOKE       
Practice Address: PRYOR PUBLIC SCHOOLS
1100 SE 9TH STREET
PRYOR OK 74362

Address last updated on 9/10/2024
Phone #: (918) 825-1255
Fax #:
County: MAYES
License: 1035
Dated: 9/28/2018
Expires: 8/31/2025
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
PRYOR PUBLIC SCHOOLS
1100 SE 9TH STREET
PRYOR OK 74362

Phone #: (918) 825-1255
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DARIN GWARTNEY DO 5219

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