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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 1, 2024 3:54 AM CDT
Next Update: Monday, July 1, 2024 12:00 PM CDT

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NEAL, SHAKOTA LACY CHEYENNE       
Practice Address: SSM HEALTH BONE AND JOINT / OSOI
1110 N LEE AVE STE 200
OKLAHOMA CITY OK 73102

Address last updated on 5/23/2024
Phone #: (405) 218-2530
Fax #:
County: OKLAHOMA
License: 1365
Dated:
Expires: 9/19/2024
Temp. Ltr. Issued: 5/24/2024
Temp. Ltr. Expires: 9/19/2024
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Temporary
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:
SSM HEALTH BONE AND JOINT / OSOI
1110 N LEE AVE STE 200
OKLAHOMA CITY OK 73102

Phone #: (405) 218-2530
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GEORGE GHATA MD 32460

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