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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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VANN, RAQUEL MAUREEN JUDITH       
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: COLONIAL TERRACE CARE
1320 NE 1ST PL.
PRYOR OK 74361

Address last updated on 10/29/2024
Phone #: (918) 825-5311
Fax #:
County: MAYES
License: 1794
Dated: 11/1/2016
Expires: 10/31/2025
Temp. Ltr. Issued: 8/10/2016
Temp. Ltr. Expires: 11/4/2016
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:
COLONIAL TERRACE CARE
1320 NE 1ST PL.
PRYOR OK 74361

Phone #: (918) 825-5311
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JULIE ARIAS OT 2059
BROOKE FORCINA SAWYER OT 1774
DANIEL SCOTT WENGERD OT 870

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