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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST
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AGUILLARD, BERNARD BLAKE
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| Practice Address: |
OKLAHOMA SURGICAL HOSPITAL
2408 E 81ST STREET
TULSA OK 74137
Address last updated on 8/21/2024 |
| Phone #: |
(918) 246-9500 |
| Fax #: |
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| County: |
TULSA |
| License: |
418 |
| Dated: |
2/25/2005 |
| Expires: |
8/31/2025 |
|
Temp.
Ltr.
Issued:
|
9/30/2004 |
|
Temp.
Ltr.
Expires:
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3/12/2005 |
| License Type: |
Athletic Trainer |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2009 |
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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: |
|
RALPH TYLER BOONE
|
MD |
18846 |
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