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Last Update: Thursday, April 18, 2024 4:01 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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EASTERLY, PHILLIP WILLIAM
Practice Address: 138TH AIR FORCE NATIONAL GUARD
9100 E 46TH ST N
TULSA OK 74115

Address last updated on 1/18/2024
Phone #: (580) 541-6093
Fax #:
County: TULSA
License: 494
Dated: 9/16/2010
Expires: 8/31/2012
Temp. Ltr. Issued: 7/22/2010
Temp. Ltr. Expires: 9/16/2010
License Type: Apprentice Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
138TH AIR FORCE NATIONAL GUARD
9100 E 46TH ST N
TULSA OK 74115

Phone #: (580) 541-6093
Fax #:

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