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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

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HILL, BENJAMIN DALE
Practice Address: 509 S 30TH ST
CLINTON OK 73601

Address last updated on 1/16/2024
Phone #: (580) 323-8778
Fax #:
County: CUSTER
License: 1153
Dated: 9/1/2019
Expires: 8/31/2024
Temp. Ltr. Issued: 8/23/2019
Temp. Ltr. Expires: 9/12/2019
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
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:
509 S 30TH ST
CLINTON OK 73601

Phone #: (580) 323-8778
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK BLAINE MANN MD 20775

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