LONGINO, JEFFREY KENT - Licensee Information

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LONGINO, JEFFREY KENT

Practice Address:	ENCOMPASS HOME HEALTH 6125 W RENO AVE OKLAHOMA CITY OK 73127-6539 Address last updated on 1/31/2009
Phone #:	(405) 789-9090
Fax #:
County:	OKLAHOMA
License:	3749
Dated:	7/29/2004
Expires:	1/31/2010
Temp. Ltr. Issued:	6/24/2004
Temp. Ltr. Expires:	7/31/2004
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2009

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:
ENCOMPASS HOME HEALTH 6125 W RENO AVE OKLAHOMA CITY OK 73127-6539 Phone #: (405) 789-9090 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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