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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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GRAHAM, NANCY DAWN       
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: PRS
109 HIGH ST
EUFAULA OK 74432

Address last updated on 1/4/2024
Phone #: (918) 618-6064
Fax #:
County: MCINTOSH
License: 2027
Dated: 6/26/1993
Expires: 1/31/2025
Temp. Ltr. Issued: 2/25/1993
Temp. Ltr. Expires: 6/26/1993
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
PRS
109 HIGH ST
EUFAULA OK 74432

Phone #: (918) 618-6064
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BONNIE JEAN BURNS TA 1868
BONNIE JEAN BURNS TA 1868
PETE SMITH CEPEDA TA 1462
KIMBERLY DAWN COBLE TA 1301
RYAN SHANE COOK TA 857
HEATHER MICHELLE COOK TA 606
ASHLEY DAWN DUMAS TA 1620
SYDNEY RAE HODGES TA 2397
PATRIK JONSON LOVELL TA 1726
JEFFERY DALE MCCLELLAN TA 607
AARON ANDREW PARISH TA 852
ROSALIE CAWARD PIXLEY TA 1511
RONALDO MICHAEL SHIREY TA 1290

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