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Last Update: Thursday, March 28, 2024 10:06 AM CDT
Next Update: Thursday, March 28, 2024 12:00 PM CDT
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RANDOLPH, NICHOLAS SHANE |
Practice Address: |
2225 N MAIN ST
MIAMI OK 74354
Address last updated on 1/5/2024 |
Phone #: |
(918) 542-4101 |
Fax #: |
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County: |
OTTAWA |
License: |
2852 |
Dated: |
10/13/2017 |
Expires: |
1/31/2025 |
License Type: |
Physical Therapist Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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