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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT
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NOONAN, SIERRA FRANCES |
| Practice Address: |
2200 NE 140TH ST
EDMOND OK 73013
Address last updated on 11/30/2022 |
| Phone #: |
(405) 604-5433 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
196 |
| Dated: |
7/2/2018 |
| Expires: |
11/30/2024 |
|
Temp.
Ltr.
Issued:
|
1/17/2018 |
|
Temp.
Ltr.
Expires:
|
9/13/2018 |
| License Type: |
Therapeutic Recreation Specialist |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
0 |
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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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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JULIE KAY COSTILLA
|
TRS |
61 |
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