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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

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FRETWELL, MESTELL TAMASYN
Practice Address: 30049 EAST 151ST ST SOUTH
COWETA OK 74429

Address last updated on 2/14/2024
Phone #: (918) 486-2166
Fax #:
County: WAGONER
License: 1611
Dated: 4/10/2015
Expires: 10/31/2024
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:
30049 EAST 151ST ST SOUTH
COWETA OK 74429

Phone #: (918) 486-2166
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LACEY BREE LASHLEY BLEVINS OT 2066
KIMBERLY KAY-LYNN CAIN OT 5388

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