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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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HART WOLFE, CRISTINA       
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: CLINTON INDIAN HEALTH CENTER
10321 N 2274 RD
CLINTON OK 73601

Address last updated on 9/6/2024
Phone #: (580) 331-3439
Fax #: (580) 331-3562
County: CUSTER
License: 2264
Dated: 8/18/1994
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:
CLINTON INDIAN HEALTH CENTER
10321 N 2274 RD
CLINTON OK 73601

Phone #: (580) 331-3439
Fax #: (580) 331-3562
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MITZIE LEE EATON TA 1607
MITZIE LEE EATON TA 1607
LORI RAE EXINIA TA 1997
TODD VINCENT KAMPHAUS TA 2656
SHANA RENEE STEPHENSON TA 2138
KEVIN LEROY STEWART TA 1237
KEVIN LEROY STEWART TA 1237

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