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Last Update: Friday, April 19, 2024 3:56 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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SHAW, NICHOLE LYNN
Practice Address: JACKSON COUNTY MEMORIAL HOSPITAL
1200 E. PECAN
ALTUS OK 73521

Address last updated on 3/26/2024
Phone #: (580) 379-5820
Fax #:
County: JACKSON
License: 1760
Dated: 11/1/2016
Expires: 10/31/2024
Temp. Ltr. Issued: 8/26/2016
Temp. Ltr. Expires: 11/4/2016
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
JACKSON COUNTY MEMORIAL HOSPITAL
1200 E. PECAN
ALTUS OK 73521

Phone #: (580) 379-5820
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KELLEY KRISTIN DUNCAN OT 635
JASON CHRISTOPHER ROSS OT 2031

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