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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 11, 2024 4:03 AM CDT
Next Update: Saturday, May 11, 2024 12:00 PM CDT

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STANGL, SHANNON MARIE       
Practice Address: 7919 MID AMERICA BLVD
OKLAHOMA CITY OK 73135

Address last updated on 3/27/2024
Phone #: (405) 855-6000
Fax #:
County: OKLAHOMA
License: 2977
Dated: 10/24/2018
Expires: 3/31/2025
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:
7919 MID AMERICA BLVD
OKLAHOMA CITY OK 73135

Phone #: (405) 855-6000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RODRIGO ALBA MARIANO MD 20512
GODWIN SALIFU MATTHEW MD 34474

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