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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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CRUZAN, JADE ASHLIN       
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: 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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