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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 1:47 PM CDT
Next Update: Friday, April 19, 2024 4:30 PM CDT

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EDMINSTEN, JAMIE TENILLE
Practice Address: STEPHENSON CANCER CENTER
800 NE 10TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/24/2024
Phone #: (405) 271-7559
Fax #:
County: OKLAHOMA
License: 1602
Dated: 2/15/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 1/26/2007
Temp. Ltr. Expires: 5/9/2007
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:
STEPHENSON CANCER CENTER
800 NE 10TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-7559
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GREG ALLEN KREMPL MD 19376
NILESH RAMAN VASAN MD 23030

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