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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT

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RUSS, DOMINIQUE ALISHA       
Practice Address: MERCY HOSPITAL OKLAHOMA CITY
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 1/22/2024
Phone #: (405) 752-3770
Fax #:
County: OKLAHOMA
License: 4674
Dated: 2/17/2017
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:
MERCY HOSPITAL OKLAHOMA CITY
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3770
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAURA ASHLEY BLALOCK TA 3376
RANDI LEIGH BRANDT TA 1399
MICHAEL LOUIS BRUCE TA 2010
ANNA MARIA COSTELLO TA 3289
ALEXANDRIA GALE GOODRICH TA 2917
JENNIFER ANN HASSELWANDER TA 3539
NICHOLAS JOSEPH HOLDEN TA 524
JONATHON HUNNER LANDRETH TA 3600
ANGELA GAYE LESTER TA 791
LINDSAY MICHELLE MAGEE TA 3637
ALIZABETH ANN MANDE TA 1618
LESLIE HEIDI ROBERTS TA 3050
JUSTIN TYLER ROGERS TA 3128
ALLISON GRACE SJONG TA 1189
MICHELLE CASEY TISDALE TA 1292
LISA ANN UPTON TA 1588

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