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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 10:58 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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NDALLE, CANALI ACHIRI
Practice Address: PARK PLACE NURSING HOME
1530 NE GRAND BLVD
OKLAHOMA CITY OK 73117

Address last updated on 1/12/2024
Phone #: (405) 768-1155
Fax #:
County: OKLAHOMA
License: 1844
Dated: 4/30/2019
Expires: 10/31/2024
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:
PARK PLACE NURSING HOME
1530 NE GRAND BLVD
OKLAHOMA CITY OK 73117

Phone #: (405) 768-1155
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STACY MARIE BRITTON OT 1712
JASON PORTERFIELD OT 5868
JOSEPH MINH TRAN OT 1059

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