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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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VALENCIA, JALYSSA ERICKA
Practice Address: CALDWELL MEDICAL GROUP
2109 US-HWY 69
WAGONER OK 74467

Address last updated on 2/12/2024
Phone #: (918) 485-6069
Fax #: (888) 815-0475
County: WAGONER
License: 4938
Dated: 2/6/2023
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:
CALDWELL MEDICAL GROUP
2109 US-HWY 69
WAGONER OK 74467

Phone #: (918) 485-6069
Fax #: (888) 815-0475

Hospital Privileges:

Wagoner Community Hospital
Wagoner, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KAMMIE MARIA CALDWELL MD 24211

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