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MILES, SUE ANN       
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: WILMA MANKILLER HEALTH CENTER
RT 2 BOX 93
STILWELL OK 94960
Phone #:
Fax #:
County: ADAIR
License: 729
Dated: 9/1/1995
Expires: 3/31/1996
Temp. Ltr. Issued: 8/4/1995
Temp. Ltr. Expires: 11/4/1995
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:
WILMA MANKILLER HEALTH CENTER
RT 2 BOX 93
STILWELL OK 94960

Phone #:
Fax #:

Hospital Privileges:

None listed

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