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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CAMPBELL, DORIS ANN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: ST MARY'S HOSPITAL OUTPATIENT
2123 W WILLOW
ENID OK 73701

Address last updated on 10/8/2024
Phone #: (580) 237-8278
Fax #:
County: GARFIELD
License: 122
Dated: 5/18/1991
Expires: 10/31/2025
License Type: Occupational Therapy Assistant
Specialty: Hemiplegia (OT/OA only)
Home Modification (OT/OA only)
Purposeful Activities (OT/OA only)
Dementia (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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 MARY'S HOSPITAL OUTPATIENT
2123 W WILLOW
ENID OK 73701

Phone #: (580) 237-8278
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHANNON L. BALENTI OT 501
PAMELA SUE GRANTZ OT 793
TYLA ANN MANTZ OT 1007
VALERIE DAWN TROJAN OT 1705

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