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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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MANGE, MONA STEPHAN       
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: XAVIER CLINIC
10711 EAST 11TH STREET
TULSA OK 74128-3200

Address last updated on 12/27/2022
Phone #: (918) 583-7233
Fax #:
County: TULSA
License: 12981
Dated: 1/27/1981
Expires: 1/15/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of Beirut, Fac Of Med, Beirut, Lebanon
Graduated: 6 / 1966
CME Year: 2025
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.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
XAVIER CLINIC
10711 EAST 11TH STREET
TULSA OK 74128-3200

Phone #: (918) 583-7233
Fax #:
Mon:
Tue:
Wed: 7:00AM - 0:45PM
Thu:
Fri:
Sat:
Sun:
Arabic

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