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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 5:08 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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GADDIS, RAVEN SYMONE
Practice Address: 9201 S SOONER ROAD
OKLAHOMA CITY OK 73165

Address last updated on 12/8/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 5788
Dated: 3/1/2021
Expires: 1/31/2025
Temp. Ltr. Issued: 7/2/2020
Temp. Ltr. Expires: 11/23/2020
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
9201 S SOONER ROAD
OKLAHOMA CITY OK 73165

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DULCIA ADALINA IDALLE COMBS-RICHARDSON TA 2044
ROBERT JOHN SYTH TA 2168

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