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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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WALLACE, RAYMOND MARTIN
Practice Address: RURAL WELLNESS STROUD
2308 HWY 66 W.
STROUD OK 74079

Address last updated on 9/30/2023
Phone #: (918) 968-3571
Fax #:
County: LINCOLN
License: 569
Dated: 11/3/1999
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:
RURAL WELLNESS STROUD
2308 HWY 66 W.
STROUD OK 74079

Phone #: (918) 968-3571
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LORI ANN OWEN OT 1598

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