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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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FERNANDEZ, EDNA MARIE QUILON       
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: EMERALD CARE CENTER SOUTHWEST
5600 S WALKER
OKLAHOMA CITY OK 73109

Address last updated on 12/28/2023
Phone #: (405) 632-7771
Fax #: (405) 632-1128
County: OKLAHOMA
License: 1760
Dated: 10/24/1991
Expires: 1/31/2025
License Type: Physical 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:
EMERALD CARE CENTER SOUTHWEST
5600 S WALKER
OKLAHOMA CITY OK 73109

Phone #: (405) 632-7771
Fax #: (405) 632-1128
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DEBRA ANN ALEXANDER TA 1576
LAURYN ASHLEIGH BECERRA TA 3537
JADE KOREY BELL TA 2036
REGAN COIL TA 3151
LAUREN NICOLE COLEMAN TA 3123
HAYLEY MARIE COOTS TA 3203
ZORRO W DANIELS TA 3589
WESUI CHAUNTE' GILMORE TA 2049
JOSEPHINE HAFNER-BONOVICH TA 1145
JOHN MICHAEL HAMMON TA 1148
BRANDI LASHELLE HARRIS TA 2677
LARESA DAWN MILLER TA 2706
PIERRE NGALANI TA 2380
SEAN KALE PROPHET TA 573

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