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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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DUNK, JULIA       
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: 1401 SW 34TH ST
SUITE 300
MOORE OK 73160

Address last updated on 1/22/2024
Phone #: (405) 793-7885
Fax #:
County: CLEVELAND
License: 4721
Dated: 11/7/2013
Expires: 1/31/2025
Temp. Ltr. Issued: 7/11/2013
Temp. Ltr. Expires: 1/24/2014
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:
1401 SW 34TH ST
SUITE 300
MOORE OK 73160

Phone #: (405) 793-7885
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHAEL WAYNE BLOMSTROM TA 691
MICHAEL WAYNE BLOMSTROM TA 691
LESLIE HEIDI ROBERTS TA 3050
DEBORAH KAY WILLIAMS TA 2508

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