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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, October 16, 2018 5:24 PM CDT
Next Update: Wednesday, October 17, 2018 2:50 AM CDT

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Practice Address: 1620 E. 12TH ST.
TULSA OK 74012

Address last updated on 10/3/2018
Phone #: (918) 588-8888
Fax #:
County: TULSA
License: 15
Dated: 11/5/2010
Expires: 11/30/2020
License Type: Therapeutic Recreation Specialist
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
1620 E. 12TH ST.
TULSA OK 74012

Phone #: (918) 588-8888
Fax #:

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