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Next Update: Thursday, May 2, 2024 2:50 AM CDT

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BUCCILLE, JUSTIN HENRY
Practice Address: STILWELL NURSING HOME
STILWELL OK 74960

Address last updated on 10/27/2022
Phone #: (918) 696-7715
Fax #:
County: ADAIR
License: 2321
Dated: 9/5/2013
Expires: 1/31/2019
Temp. Ltr. Issued: 6/21/2013
Temp. Ltr. Expires: 9/12/2013
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
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:
STILWELL NURSING HOME
STILWELL OK 74960

Phone #: (918) 696-7715
Fax #:

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