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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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LONG, JODIE NICOLE
Practice Address: SPEECH AND BEYOND
240 SOUTH ADAMS ST
JENKS OK 74037

Address last updated on 1/24/2024
Phone #: (918) 409-0157
Fax #:
County: TULSA
License: 2838
Dated: 8/31/2017
Expires: 1/31/2025
Temp. Ltr. Issued: 9/26/2019
Temp. Ltr. Expires: 11/7/2019
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:
SPEECH AND BEYOND
240 SOUTH ADAMS ST
JENKS OK 74037

Phone #: (918) 409-0157
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RACHEL DANAE BUSENBURG PT 4381
LAUREN SEE PT 5836

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