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DEBOW, MARC WILLIAM       
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: 133 N FAIRLAND
PRYOR OK 74361
Phone #:
Fax #:
County: MAYES
License: 446
Dated: 10/3/1984
Expires: 3/31/1990
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
133 N FAIRLAND
PRYOR OK 74361

Phone #:
Fax #:

Hospital Privileges:

None listed

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