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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST
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STEPHENSON, SHADOW DRUM
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| Practice Address: |
MAPLE LAWN NURSING & REHAB
800 ARAPAHO AVE
HYDRO OK 73048
Address last updated on 4/26/2024 |
| Phone #: |
(405) 663-2488 |
| Fax #: |
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| County: |
CADDO |
| License: |
2959 |
| Dated: |
7/18/2018 |
| Expires: |
1/31/2025 |
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Temp.
Ltr.
Issued:
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7/17/2018 |
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Temp.
Ltr.
Expires:
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9/13/2018 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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ALEXIS SCHMIDT
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PTC |
12281 |
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