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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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HARRISON, KRYSTAL LANETTE
Practice Address: ASCENSION ST JOHN HOME HEALTH
4612 S HARVARD AVE STE C
TULSA OK 74135

Address last updated on 1/22/2024
Phone #: (918) 747-7901
Fax #:
County: TULSA
License: 1558
Dated: 2/1/2007
Expires: 1/31/2025
Temp. Ltr. Issued: 10/19/2006
Temp. Ltr. Expires: 3/24/2007
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:
ASCENSION ST JOHN HOME HEALTH
4612 S HARVARD AVE STE C
TULSA OK 74135

Phone #: (918) 747-7901
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EVAN BLAISE FLANAGAN PT 5442
BRENDA BAYASEN PAGTEILAN PT 1750

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