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Last Update: Saturday, May 18, 2024 7:03 PM CDT
Next Update: Sunday, May 19, 2024 2:50 AM CDT

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MOSER, NICHOLE V       
Practice Address: ELLIS CLINIC
5100 N. BROOKLINE AVE SUITE#465
OKLAHOMA CITY OK 73112

Address last updated on 2/28/2024
Phone #: (405) 917-5336
Fax #: (405) 917-2250
County: OKLAHOMA
License: 4474
Dated: 11/2/2020
Expires: 3/31/2025
Temp. Ltr. Issued: 4/6/2022
Temp. Ltr. Expires: 7/28/2022
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:
ELLIS CLINIC
5100 N. BROOKLINE AVE SUITE#465
OKLAHOMA CITY OK 73112

Phone #: (405) 917-5336
Fax #: (405) 917-2250

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANUPAMA BEKKEM MD 23111
JOHN WESLEY ELLIS MD 9024

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