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Last Update: Sunday, May 19, 2024 1:49 PM CDT
Next Update: Sunday, May 19, 2024 4:30 PM CDT
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HISE, DANA J.
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| Practice Address: |
ASSURED HOME HEALTH
514 AVANT AVE
CLINTON OK 73601
Address last updated on 10/4/2023 |
| Phone #: |
(580) 323-0277 |
| Fax #: |
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| County: |
CUSTER |
| License: |
529 |
| Dated: |
2/25/1999 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
9/1/2005 |
|
Temp.
Ltr.
Expires:
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11/4/2006 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2024 |
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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):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
ROBERT D HARRIS
|
OT |
1430 |
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