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Next Update: Sunday, November 17, 2024 12:00 PM CST
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LATHAM, VICKI C.
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| Practice Address: |
REVIVE THERAPY AND WELLNESS
629 SE 89TH
OKLAHOMA CITY OK 73139
Address last updated on 9/10/2024 |
| Phone #: |
(405) 493-9955 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
725 |
| Dated: |
9/1/1995 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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6/16/1995 |
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Temp.
Ltr.
Expires:
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11/4/1995 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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