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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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BLACKWELL-OCHOA, STACIE LYNN
Practice Address: ST JOHN MED CTR
1923 S UTICA AVE
TULSA OK 74104-6502

Address last updated on 1/23/2007
Phone #: (918) 744-2350
Fax #:
County: TULSA
License: 3761
Dated: 8/19/2004
Expires: 1/31/2008
Temp. Ltr. Issued: 8/18/2004
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
ST JOHN MED CTR
1923 S UTICA AVE
TULSA OK 74104-6502

Phone #: (918) 744-2350
Fax #:

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