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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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PEREZ, HALEY LYNN
Practice Address: 1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 3/14/2024
Phone #: (580) 436-3980 x8243
Fax #:
County: PONTOTOC
License: 4420
Dated: 10/30/2020
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:
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980 x8243
Fax #:

Hospital Privileges:

Chickasaw Nation Medical Ctr (fmly Carl Albert Indian Health Facility-IHS)
Ada, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PHILLIP TYLER FULLER MD 30483

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