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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 10:24 AM CDT
Next Update: Thursday, April 25, 2024 12:00 PM CDT

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JACKSON, TERESA MARIE
Practice Address: GENESIS HOME HEALTH LLC
625 W BROADWAY
PO BOX 66
YALE OK 74085

Address last updated on 1/2/2024
Phone #: (918) 387-2233
Fax #:
County: PAYNE
License: 1537
Dated: 9/21/2006
Expires: 1/31/2025
Temp. Ltr. Issued: 8/24/2006
Temp. Ltr. Expires: 11/4/2006
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:
GENESIS HOME HEALTH LLC
625 W BROADWAY
PO BOX 66
YALE OK 74085

Phone #: (918) 387-2233
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JENNIFFER DENISE BLANKINSHIP PT 3425

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