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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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MARTIN, MARILYN DEE       
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: STILLWATER MEDICAL- BLACKWELL
710 S 13TH ST
BLACKWELL OK 74631

Address last updated on 12/6/2023
Phone #: (580) 363-9375
Fax #: (580) 363-9377
County: KAY
License: 201
Dated: 9/1/1990
Expires: 1/31/2025
License Type: Physical Therapist Assistant
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:
STILLWATER MEDICAL- BLACKWELL
710 S 13TH ST
BLACKWELL OK 74631

Phone #: (580) 363-9375
Fax #: (580) 363-9377

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