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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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ZYBACH, NIKKI SUE
Practice Address: 210 SW 89TH STREET
OKLAHOMA CITY OK 73139

Address last updated on 3/31/2024
Phone #: (405) 631-0663
Fax #:
County: OKLAHOMA
License: 1104
Dated: 4/1/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2001
Temp. Ltr. Expires: 3/31/2001
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
210 SW 89TH STREET
OKLAHOMA CITY OK 73139

Phone #: (405) 631-0663
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY ALAN HOPKINS MD 30101
RONALD R. HOPKINS DO 2282
LARRY LOVELACE DO 2438
H. Diana O'Connor DO 2718

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