PAYNE, JACQUELYN DOVE - Licensee Information

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Last Update: Saturday, April 20, 2024 4:03 AM CDT
Next Update: Saturday, April 20, 2024 12:00 PM CDT

PAYNE, JACQUELYN DOVE

Practice Address:	LIFE PACE INC 5950 EAST 31ST STREET TULSA OK 74135-5114 Address last updated on 12/22/2023
Phone #:	(918) 949-9969 x1328
Fax #:	(918) 551-7982
County:	TULSA
License:	417
Dated:	8/21/1995
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:
LIFE PACE INC 5950 EAST 31ST STREET TULSA OK 74135-5114 Phone #: (918) 949-9969 x1328 Fax #: (918) 551-7982

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KATHERINE JUNE CODY	PT	4341

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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