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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT
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|
RANDALL, CARRIE LINDA |
| Practice Address: |
JACK C. MONTGOMERY VAMC
1011 HONOR HEIGHTS DR
MUSKOGEE OK 77401
Address last updated on 2/19/2024 |
| Phone #: |
(918) 577-3000 |
| Fax #: |
(918) 577-3230 |
| County: |
MUSKOGEE |
| License: |
1671 |
| Dated: |
10/18/2007 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
9/28/2007 |
|
Temp.
Ltr.
Expires:
|
11/3/2007 |
| License Type: |
Physician Assistant |
| Specialty: |
|
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| 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.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
MARVIN S MOUL
|
DO |
5887 |
|
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