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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 22, 2024 6:57 PM CDT
Next Update: Tuesday, April 23, 2024 2:50 AM CDT

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CHACON VELASCO, MARTHA ALYSSA
Practice Address: GENTLE SHEPHERD HOME HEALTH
1625 GREENBRIAR PL #400
OKLAHOMA CITY OK 73159

Address last updated on 1/29/2024
Phone #: (405) 691-8600
Fax #:
County: OKLAHOMA
License: 2175
Dated: 7/25/2012
Expires: 1/31/2025
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:
GENTLE SHEPHERD HOME HEALTH
1625 GREENBRIAR PL #400
OKLAHOMA CITY OK 73159

Phone #: (405) 691-8600
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LONI MARIE MCINTYRE PT 3774

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