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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, February 20, 2024 4:03 PM CST
Next Update: Wednesday, February 21, 2024 2:50 AM CST

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COSTILLA, JULIE KAY
Practice Address: ST ANTHONY HOSPITAL
1000 N LEE
OKLAHOMA CITY OK 73101

Address last updated on 9/6/2023
Phone #: (405) 231-8956
Fax #:
County: OKLAHOMA
License: 61
Dated: 11/5/2010
Expires: 11/30/2024
License Type: Therapeutic Recreation Specialist
Specialty:
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:
ST ANTHONY HOSPITAL
1000 N LEE
OKLAHOMA CITY OK 73101

Phone #: (405) 231-8956
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SAMUEL ARTEAGA TRS 274
HAYLEY CHRISTINE BAIE TRS 170
RACHEL SUEANNE FEASLEY TRS 259
CHEYENNE RENE FELTS TRS 180
MICHELLE L FIERRO TRS 266
BAILEE DAWN GERIES TRS 194
ELIZABETH JOY HOFMEISTER TRS 187
TINA DIANE JOHNSON TRS 229
SIERRA FRANCES NOONAN TRS 196
A'BREANNA MONAY WRICE TRS 232

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