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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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MASS, SHANE
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| Practice Address: |
W W HASTINGS HOSPITAL
100 BLISS AVE
TAHLEQUAH OK 74464
Address last updated on 7/29/2024 |
| Phone #: |
(918) 458-3100 |
| Fax #: |
|
| County: |
CHEROKEE |
| License: |
5399 |
| Dated: |
|
| Expires: |
11/21/2024 |
|
Temp.
Ltr.
Issued:
|
9/10/2024 |
|
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: |
|
KATHRYN HUGHES
|
DO |
5156 |
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