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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 11:33 AM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

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GAMBILL, BOPHA TIEM
Practice Address: 1437 S. BOULDER AVE. STE. 1010
TULSA OK 74119

Address last updated on 1/14/2024
Phone #: (918) 712-7805
Fax #: (918) 712-7813
County: TULSA
License: 3721
Dated: 6/10/2004
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:
1437 S. BOULDER AVE. STE. 1010
TULSA OK 74119

Phone #: (918) 712-7805
Fax #: (918) 712-7813
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STORMY RENEE BERGMANN TA 1642
LESLIE NICOLE DAY TA 1449
KYLA L. DICKERSON TA 3276
ANDREA JO FINNEY TA 2186
LINDSAY NICOLE GRISSETT TA 912
CORI ELAINA MOORE TA 2285
KARRINGTON MCKENZIE MORRIS TA 3308
MARLEKA KAI MUNN TA 1401
MARTIN GLENN PATRICK TA 2059
SHEILA MICHELLE POWELL TA 628
CYNTHIA DIANE REFFNER TA 707
BRENDA FAYE SHIEW TA 420
DANIEL NEWTON STOCKTON TA 264
BECKI RENEE TYNER TA 2172

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