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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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VANCE, TAYLOR
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| Practice Address: |
ST JOHN
1923 S UTICA AVE
TULSA OK 74104
Address last updated on 3/10/2018 |
| Phone #: |
(918) 230-3023 |
| Fax #: |
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| County: |
TULSA |
| License: |
15 |
| Dated: |
7/6/2018 |
| Expires: |
10/31/2024 |
| License Type: |
Anesthesiologist Assistant |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| CME Year: |
0 |
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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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Ryan Newton Hulver
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DO |
4198 |
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