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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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DAVIS, DEBRA DENISE
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Practice Address: |
AMC URGENT CARE
2101 N 14TH ST, STE 114
PONCA CITY OK 74601
Address last updated on 7/17/2024 |
Phone #: |
(580) 762-1552 |
Fax #: |
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County: |
KAY |
License: |
5397 |
Dated: |
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Expires: |
11/21/2024 |
Temp.
Ltr.
Issued:
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9/6/2024 |
Temp.
Ltr.
Expires:
|
11/21/2024 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Temporary |
Restricted to: |
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CME Year: |
0 |
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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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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
SAMUEL LYLE HAGUE
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MD |
22530 |
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