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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, February 22, 2024 3:58 AM CST
Next Update: Thursday, February 22, 2024 12:00 PM CST

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DAVIS, JASON WADE
Practice Address: PACE OF THE OZARKS
3602 SW GIBSON AVE
BENTONVILLE AR 72712-0001

Address last updated on 11/24/2022
Phone #: (918) 961-0130
Fax #:
County: NOT OKLAHOMA
License: 96
Dated: 12/20/2010
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:
PACE OF THE OZARKS
3602 SW GIBSON AVE
BENTONVILLE AR 72712-0001

Phone #: (918) 961-0130
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MERISSA BAILEY TRS 235
HOLLIE LYNN MANSELL TRS 251

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