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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT
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JACK, SAMARA JA'NEL |
| Practice Address: |
1919 S WHEELING AVE
SUITE 606
TULSA OK 74104
Address last updated on 3/29/2024 |
| Phone #: |
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| Fax #: |
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| County: |
TULSA |
| License: |
1919 |
| Dated: |
7/22/2010 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/28/2010 |
|
Temp.
Ltr.
Expires:
|
7/22/2010 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| 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:
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Broken Arrow, OK
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