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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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PAYNE, JACQUELYN DOVE       
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: LIFE PACE INC
5950 EAST 31ST STREET
TULSA OK 74135-5114

Address last updated on 12/22/2023
Phone #: (918) 949-9969 x1328
Fax #: (918) 551-7982
County: TULSA
License: 417
Dated: 8/21/1995
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:
LIFE PACE INC
5950 EAST 31ST STREET
TULSA OK 74135-5114

Phone #: (918) 949-9969 x1328
Fax #: (918) 551-7982
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHERINE JUNE CODY PT 4341

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