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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT
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|
PALUMBO, AMANDA DAWN |
| Practice Address: |
1145 W I-240 SERVICE ROAD ST F100
OKC OK 73139
Address last updated on 4/17/2024 |
| Phone #: |
(405) 802-3905 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
1625 |
| Dated: |
4/30/2007 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
3/29/2007 |
|
Temp.
Ltr.
Expires:
|
5/19/2007 |
| License Type: |
Physician Assistant |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2025 |
|
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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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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
FADALIA DARLENE KIM
|
MD |
27133 |
|
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