BUSTOS, ELENA MARIE - Licensee Information

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Last Update: Sunday, May 19, 2024 4:08 AM CDT
Next Update: Sunday, May 19, 2024 12:00 PM CDT

BUSTOS, ELENA MARIE

Practice Address:	MANGUM REGIONAL MEDICAL CENTER 1 WICKERSHAM DR. MANGUM OK 73554 Address last updated on 10/29/2023
Phone #:	(580) 782-3353
Fax #:
County:	GREER
License:	2038
Dated:	7/18/2019
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:
MANGUM REGIONAL MEDICAL CENTER 1 WICKERSHAM DR. MANGUM OK 73554 Phone #: (580) 782-3353 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MIRANDA MICHELLE BRANSON	OT	5349

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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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