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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 1:21 PM CDT
Next Update: Thursday, September 26, 2024 4:30 PM CDT

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MILLER, MALARIE JORDAN       
Practice Address: 12899 E 76TH ST. N
SUITE 109
OWASSO OK 74055

Address last updated on 10/21/2023
Phone #: (918) 609-6003
Fax #: (918) 609-6002
County: TULSA
License: 5606
Dated: 11/1/2021
Expires: 10/31/2024
License Type: Occupational Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
12899 E 76TH ST. N
SUITE 109
OWASSO OK 74055

Phone #: (918) 609-6003
Fax #: (918) 609-6002
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DELANEY CHRISTINE BLAYLOCK OA 2369
HEATHER FAITH CYR OA 2463

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