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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

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HILL, BENJAMIN DALE       
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: 509 S 30TH ST
CLINTON OK 73601

Address last updated on 7/31/2024
Phone #: (580) 323-8778
Fax #:
County: CUSTER
License: 5628
Dated: 5/23/2019
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:
509 S 30TH ST
CLINTON OK 73601

Phone #: (580) 323-8778
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANAHI AGUILAR TA 3833
KRISTINA BOUREY BLAZEK TA 3699
TODD VINCENT KAMPHAUS TA 2656
ERIN FAYE LANTZ TA 3543
JOCELYN MICHELLE LOWRANCE TA 3804
BLANCA ATOCHA MARQUEZ TA 3418
JULIANNE MOORE TA 3489
CAMMI LYNN RODKEY TA 3803
HANNAH JOY SCHICK TA 2947
LARUE SLOAN TA 3614
JORDAN MARIE WEAVER TA 3421

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