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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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BLACKLOCK, NANETTE K       
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: NORTH TEXAS EASTER SEAL REHAB
1005 MIDWESTERN PARKWAY EAST
WICHITA FALLS TX 76302-2211

Address last updated on 12/28/2000
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 1921
Dated: 9/12/1992
Expires: 1/31/2002
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
NORTH TEXAS EASTER SEAL REHAB
1005 MIDWESTERN PARKWAY EAST
WICHITA FALLS TX 76302-2211

Phone #:
Fax #:

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