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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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VASSAR, CODIE JORDAN
Practice Address: 14453 SE 29TH STREET STE D
CHOCTAW OK 73020-2014

Address last updated on 3/26/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 39043
Dated: 2/22/2022
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduated: 5 / 2017
CME Year: 2025
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.
Certifications: ABPS - Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
14453 SE 29TH STREET STE D
CHOCTAW OK 73020-2014

Phone #:
Fax #:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBESON AMBE APRN 15093
CHASITY JANE BUTLER PA 2661
NICOLINE EDIE APRN 118299
ERIN HAYTAIAN APRN 123872
PRUDENCIA IJEOMA APRN 10566
SYLVIE MAWOH APRN 10526
NGOMENI MBILIKIRA APRN 14030
IFEOMA OGBALU APRN 9925
ELIZABETH UMEMBA APRN 135049
CHELSEA L WALDROP PA 5074

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