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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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RICHMOND, SHAY LEA       
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: SKILLED NURSING FACILITY
503 S. MAIN STREET
GORE OK 74469

Address last updated on 11/30/2024
Phone #: (918) 489-2299
Fax #:
County: SEQUOYAH
License: 1538
Dated: 8/1/2014
Expires: 10/31/2025
Temp. Ltr. Issued: 8/1/2014
License Type: Occupational Therapy Assistant
Specialty:
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:
SKILLED NURSING FACILITY
503 S. MAIN STREET
GORE OK 74469

Phone #: (918) 489-2299
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JENNIFER QUINN GRAYSTON OT 1524

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