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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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STULL, NYKOLE MARIE
Practice Address: INTEGRIS SOUTHWEST MEDICAL CENTER
4401 S WESTERN AVE
OKLAHOMA CITY OK 73109

Address last updated on 4/23/2024
Phone #: (405) 636-7069
Fax #:
County: OKLAHOMA
License: 2311
Dated:
Expires: 9/19/2024
Temp. Ltr. Issued: 5/1/2024
Temp. Ltr. Expires: 9/19/2024
License Type: Provisional Respiratory Care
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 0
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:
INTEGRIS SOUTHWEST MEDICAL CENTER
4401 S WESTERN AVE
OKLAHOMA CITY OK 73109

Phone #: (405) 636-7069
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TANYA LAVON NEFF RC 1911

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