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Last Update: Friday, April 19, 2024 3:56 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT
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TUCKER, PHILLIP BRENT |
| Practice Address: |
ORTHO CENTRAL
3400 W TECUMSEH RD #101
NORMAN OK 73072
Address last updated on 8/2/2023 |
| Phone #: |
(405) 360-6764 |
| Fax #: |
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| County: |
CLEVELAND |
| License: |
695 |
| Dated: |
9/5/2013 |
| Expires: |
8/31/2024 |
|
Temp.
Ltr.
Issued:
|
8/23/2013 |
|
Temp.
Ltr.
Expires:
|
9/12/2013 |
| License Type: |
Athletic Trainer |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| 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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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JAMES LEE BOND
|
MD |
21989 |
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