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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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HUFFORD HARRISON, SHAWN ALEXANDRIA       
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: 13801 N WESTERN AVE.
STE B
EDMOND OK 73013

Address last updated on 1/19/2024
Phone #: (405) 946-7300
Fax #:
County: OKLAHOMA
License: 5813
Dated: 6/4/2020
Expires: 1/31/2025
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:
13801 N WESTERN AVE.
STE B
EDMOND OK 73013

Phone #: (405) 946-7300
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAYLOR RENAE COMPTON TA 3358
ELIZABETH RUTHANN GHANAATI TA 2357
ELIZABETH GUTIERREZ TA 3137
LANNY BRAD HARDY TA 1115
KAYLEE ANN HORSCH TA 2520
DANIELLE FRANCES JOHNSON TA 3506
KRISTEN NICOLE KENNEDY TA 2626
ALEX KURIAN TA 3145
JESSA LANE TA 3532
MEAGAN DAYNE MARQUEZ TA 2468
CARLA J. MARTIN TA 69
ERIN LEIGH PICKERING TA 2155
FRANK STEVEN POLLACK IV TA 3551
STEPHANIE LYNN RICHARDSON TA 3134
KIMBERLY DAWN ROBERTS TA 3305
DAKOTA KELSO SHEPHERD TA 2803
JADE ONEAL STAGGS TA 3319
HOLLY ELIZABETH TATE TA 2022

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