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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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VASSAR, CODIE JORDAN       
Practice Address: 14453 SE 29TH STREET STE D
CHOCTAW OK 73020-2014

Address last updated on 3/26/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 39043
Dated: 2/22/2022
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduated: 5 / 2017
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: ABPS - Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
14453 SE 29TH STREET STE D
CHOCTAW OK 73020-2014

Phone #:
Fax #:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHASITY JANE BUTLER PA 2661
NICOLINE EDIE APRN 118299
PRUDENCIA IJEOMA TANKEU APRN 10566
NGOMENI MBILIKIRA APRN 14030
IFEOMA OGBALU APRN 9925
ELIZABETH UMEMBA APRN 135049
CHELSEA L WALDROP PA 5074

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