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PAYNE, VICKIE 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: PO BOX 361
SAPULPA OK 74067-0361

Address last updated on 11/2/2015
Phone #: (918) 527-5758
Fax #:
County: CREEK
License: 176
Dated: 9/12/1992
Expires: 10/31/2016
Temp. Ltr. Issued: 9/3/1992
Temp. Ltr. Expires: 9/12/1992
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
PO BOX 361
SAPULPA OK 74067-0361

Phone #: (918) 527-5758
Fax #:

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