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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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TIENABESO, BOMAONYE RALPH
Practice Address: STILLWATER MEDICAL CENTER
1323 W 6TH AVE
STILLWATER OK 74074

Address last updated on 4/28/2022
Phone #: (405) 533-5098
Fax #:
County: PAYNE
License: 39686
Dated: 9/6/2023
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2022
CME Year: 2026
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
STILLWATER MEDICAL CENTER
1323 W 6TH AVE
STILLWATER OK 74074

Phone #: (405) 533-5098
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BETSY LEIGH SEVERANCE PA 1865

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