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Last Update: Wednesday, April 24, 2024 4:03 AM CDT
Next Update: Wednesday, April 24, 2024 12:00 PM CDT

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GAYANICH, JULIE RENEE'
Practice Address: MILLENIUM MEDICAL SERVICES
448 36TH AVE NW #101
NORMAN OK 73072

Address last updated on 3/15/2024
Phone #: (405) 573-9905
Fax #:
County: CLEVELAND
License: 1149
Dated: 11/8/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 10/25/2001
Temp. Ltr. Expires: 11/10/2001
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
MILLENIUM MEDICAL SERVICES
448 36TH AVE NW #101
NORMAN OK 73072

Phone #: (405) 573-9905
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RICHARD RAYMOND HARTMAN MD 19847
GAGAN DEEP MALL MD 22370
LAWREN ALYCEA MERIDETH MD 22464
KEITH W RUSSELL DO 1969

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