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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 12:01 PM CDT
Next Update: Tuesday, May 7, 2024 4:30 PM CDT

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BERGDALL, JAMI LYNETTE
Practice Address: FAIRVIEW FELLOWSHIP HOME - ODYSSEY HEALTH CARE
605 E STATE ROAD
FAIRVIEW OK 73737

Address last updated on 10/13/2023
Phone #: (580) 227-3783
Fax #:
County: MAJOR
License: 1152
Dated: 11/1/2010
Expires: 10/31/2024
Temp. Ltr. Issued: 10/8/2010
Temp. Ltr. Expires: 11/4/2010
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
FAIRVIEW FELLOWSHIP HOME - ODYSSEY HEALTH CARE
605 E STATE ROAD
FAIRVIEW OK 73737

Phone #: (580) 227-3783
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHANNON L. BALENTI OT 501
DENNA KAY JANTZEN OT 1085

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