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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, February 20, 2024 3:02 PM CST
Next Update: Wednesday, February 21, 2024 2:50 AM CST

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Practice Address: 5525 SE 155TH ST.
OKC OK 73165

Address last updated on 11/30/2023
Phone #:
Fax #:
License: 219
Dated: 2/12/2020
Expires: 11/30/2025
License Type: Therapeutic Recreation Specialist
Status: Active
Status Class: Fully Licensed
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:
5525 SE 155TH ST.
OKC OK 73165

Phone #:
Fax #:

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