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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 1, 2024 1:31 PM CDT
Next Update: Monday, July 1, 2024 4:30 PM CDT

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MENDOZA, JUSTIN-EDGAR VILLAFANIA       
Practice Address: SELECT MEDICAL SPECIALTY HOSPITAL
744 W 9TH ST
TULSA OK 74127

Address last updated on 1/27/2024
Phone #: (918) 599-1000 x1259
Fax #:
County: TULSA
License: 6115
Dated: 10/25/2023
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:
SELECT MEDICAL SPECIALTY HOSPITAL
744 W 9TH ST
TULSA OK 74127

Phone #: (918) 599-1000 x1259
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HALEY NICOLE MATTHEWS TA 3717
AUTUMN NICOLE PERRY TA 3411

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