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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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LONG, CRYSTOPHER JAMES
Practice Address: OKLAHOMA CITY VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 1/22/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 3642
Dated: 9/11/2003
Expires: 1/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
OKLAHOMA CITY VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHELLY ANN DAVIS TA 1577
ROBERT DARIN FLORY TA 3626
STACEY DAWN HILER TA 2455
KRISTIE LEA HODGES TA 2016
SHIRLEY MARIE MOODY TA 510
JAMIE ANASTASIA SCHWARTZ TA 871
DUSTIN SHANE SCHWARTZ TA 882
DANYEL TANAKA TA 3402
MICHELLE MARIE WALD TA 1046
GERALD BURTON YOUMANS II TA 2974

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