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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Monday, May 6, 2024 2:50 AM CDT

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KOPPENHAVER, NICOLE
Practice Address: SUPPLEMENTAL HEALTHCARE
8000 IH 10W STE 740
SAN ANTONIO TX 78230-3802

Address last updated on 7/19/2012
Phone #: (210) 377-1076
Fax #:
County: NOT OKLAHOMA
License: 4541
Dated: 11/3/2011
Expires: 1/31/2013
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
SUPPLEMENTAL HEALTHCARE
8000 IH 10W STE 740
SAN ANTONIO TX 78230-3802

Phone #: (210) 377-1076
Fax #:

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