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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

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CRUZAN, JADE ASHLIN       
Practice Address: OKLAHOMA CITY INDIAN CLINIC
4913 W RENO
OKLAHOMA CITY OK 73127

Address last updated on 1/16/2024
Phone #: (405) 948-4900
Fax #:
County: OKLAHOMA
License: 3120
Dated: 7/17/2019
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:
OKLAHOMA CITY INDIAN CLINIC
4913 W RENO
OKLAHOMA CITY OK 73127

Phone #: (405) 948-4900
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TYLER JACOB HARMS PT 5860
STETSON SCHMITT PT 6101
GRAYSON NEAL STARBUCK PT 4828
MATHEW CONNOR STOCKTON PT 5848

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