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Last Update: Thursday, September 26, 2024 1:21 PM CDT
Next Update: Thursday, September 26, 2024 4:30 PM CDT
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DIOMANDE, KOSSA
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Practice Address: |
MEDWISE LLC
11495 S STATE HWY 51
COWETA OK 74429
Address last updated on 7/30/2024 |
Phone #: |
(918) 994-3482 |
Fax #: |
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County: |
WAGONER |
License: |
4793 |
Dated: |
5/2/2022 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
4/5/2022 |
Temp.
Ltr.
Expires:
|
5/12/2022 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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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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Hospital Privileges:
None listed
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