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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST
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TANNER, ANITA LOUISE
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| Practice Address: |
937 SW 89TH ST. SUITE A
OKLAHOMA CITY OK 73139
Address last updated on 2/11/2024 |
| Phone #: |
(405) 702-4777 |
| Fax #: |
(405) 702-4770 |
| County: |
OKLAHOMA |
| License: |
693 |
| Dated: |
12/22/1994 |
| Expires: |
3/31/2025 |
| 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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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JANET LOIS FANNING
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MD |
17606 |
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