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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, July 27, 2024 4:01 AM CDT
Next Update: Saturday, July 27, 2024 12:00 PM CDT

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DECKER, KELLI MARIE       
Practice Address: THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE
815 S. UTICA AVE
TULSA OK 74104

Address last updated on 6/7/2024
Phone #: (918) 767-4503
Fax #:
County: TULSA
License: 282
Dated:
Expires: 9/19/2024
Temp. Ltr. Issued: 6/7/2024
Temp. Ltr. Expires: 9/19/2024
License Type: Therapeutic Recreation Specialist
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 0
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:
THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE
815 S. UTICA AVE
TULSA OK 74104

Phone #: (918) 767-4503
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAIGE NICOLE STUART TRS 103

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