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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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FANNING, RUSSELL ALLEN
Practice Address: 10505 S. FAIRGROUNDS
PERKINS OK 74059

Address last updated on 2/20/2024
Phone #: (405) 880-9231
Fax #:
County: PAYNE
License: 1498
Dated: 7/20/2006
Expires: 1/31/2025
Temp. Ltr. Issued: 7/6/2006
Temp. Ltr. Expires: 9/23/2006
License Type: Physical Therapist Assistant
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:
10505 S. FAIRGROUNDS
PERKINS OK 74059

Phone #: (405) 880-9231
Fax #:

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