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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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PACK, SARAH ASHELLE       
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: ARDMORE VETERAN'S CENTER
1015 S COMMERECE ST
ARDMORE OK 73401

Address last updated on 12/27/2023
Phone #: (580) 223-2266
Fax #:
County: CARTER
License: 2226
Dated: 2/1/2013
Expires: 1/31/2025
Temp. Ltr. Issued: 12/28/2012
Temp. Ltr. Expires: 3/7/2013
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:
ARDMORE VETERAN'S CENTER
1015 S COMMERECE ST
ARDMORE OK 73401

Phone #: (580) 223-2266
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANDREA DIONNE CAMPBELL PT 1513

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