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Next Update: Sunday, May 5, 2024 12:00 PM CDT
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|
TACKETT, JEREMY SHANE |
| Practice Address: |
STEIN ANCILLARY SERVICES
721 WEST OLIVE
STROUD OK 74079
Address last updated on 12/8/2023 |
| Phone #: |
(918) 968-2075 |
| Fax #: |
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| County: |
CREEK |
| License: |
1335 |
| Dated: |
9/2/2004 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/13/2004 |
|
Temp.
Ltr.
Expires:
|
11/4/2004 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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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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