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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT
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JACKSON-PONDER, TIFFANY SHAUNTE' |
| Practice Address: |
EPWORTH VILLA
14901 N PENNSYLVANIA AVE
OKLAHOMA CITY OK 73134
Address last updated on 12/4/2023 |
| Phone #: |
(405) 752-1200 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
1599 |
| Dated: |
7/13/2007 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/31/2007 |
|
Temp.
Ltr.
Expires:
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9/22/2007 |
| 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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