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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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GREEN, MANDY LYNN
Practice Address: VITAL CARING HOME HEALTH
4520 SOUTH HARVARD AVE #200
TULSA OK 74135

Address last updated on 1/1/2024
Phone #: (918) 503-7333
Fax #:
County: TULSA
License: 4025
Dated: 9/21/2007
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:
VITAL CARING HOME HEALTH
4520 SOUTH HARVARD AVE #200
TULSA OK 74135

Phone #: (918) 503-7333
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREW BROCK TA 2767
CASSIE VAY KENNEDY-LOPEZ TA 1508
SIMONE YVETTE MANIER TA 3240
KELLI LIANE TROBAUGH TA 1678

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