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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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GARCIA, JARRED DAVID       
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: EASTGATE VILLAGE HEALTHCARE CENTER
3500 HASKELL BLVD
MUSKOGEE OK 74403

Address last updated on 12/11/2023
Phone #: (918) 682-3191
Fax #:
County: MUSKOGEE
License: 4672
Dated: 2/15/2013
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:
EASTGATE VILLAGE HEALTHCARE CENTER
3500 HASKELL BLVD
MUSKOGEE OK 74403

Phone #: (918) 682-3191
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TIFFANY NICOLE ADAMS TA 2146
SARAH ELLEN CHANCELLOR TA 1739
KAYLEN DAWN FOREHAND TA 3571
ANGIE LEE GILFILLAN TA 1091
TERRY JACKSON HEWITT TA 424
MATTHEW QUALLS TA 2339

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