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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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BLUE, NICHOL DAWN
Practice Address: MEDICALODGE OF DEWEY
430 BARTLES ROAD
DEWEY OK 74029

Address last updated on 10/23/2023
Phone #: (918) 534-2848
Fax #:
County: WASHINGTON
License: 771
Dated: 1/9/2003
Expires: 10/31/2024
Temp. Ltr. Issued: 9/20/2002
Temp. Ltr. Expires: 1/31/2003
License Type: Occupational Therapy Assistant
Specialty: Activities of Daily Living (OT/OA only)
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:
MEDICALODGE OF DEWEY
430 BARTLES ROAD
DEWEY OK 74029

Phone #: (918) 534-2848
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHELLY MARIE NORRIS OT 550

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