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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 2:08 PM CDT
Next Update: Wednesday, April 24, 2024 4:30 PM CDT

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LONG, SIDNEY RAIN
Practice Address: NOVO
1805 E 15TH ST
TULSA OK 74110

Address last updated on 2/1/2024
Phone #:
Fax #:
County: TULSA
License: 1850
Dated: 8/2/2017
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:
NOVO
1805 E 15TH ST
TULSA OK 74110

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHY SHANNON SHEPARD OT 5375

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