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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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BRITTON, STACY MARIE       
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: IGNITE MEDICAL RESORTS
6312 N PORTLAND AVE
OKLAHOMA CITY OK 73112

Address last updated on 9/30/2024
Phone #: (405) 946-6932
Fax #: (405) 255-2557
County: OKLAHOMA
License: 1712
Dated: 6/24/2011
Expires: 10/31/2025
License Type: Occupational Therapist
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:
IGNITE MEDICAL RESORTS
6312 N PORTLAND AVE
OKLAHOMA CITY OK 73112

Phone #: (405) 946-6932
Fax #: (405) 255-2557
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GREGORIE SHAMUS BERRY OA 2409
OU-KHAM CHANSOMBATH OA 1308
RELAND HERMAN OA 1552
CANALI ACHIRI NDALLE OA 1844

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