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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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REAP, LESLIE ACACIA
Practice Address: 2807 N. WALKER AVE
SUITE 3
OKLAHOMA CITY OK 73103

Address last updated on 4/23/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 2961
Dated: 10/29/2018
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
2807 N. WALKER AVE
SUITE 3
OKLAHOMA CITY OK 73103

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH ROMANIK KINZIE MD 25482

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