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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 14, 2024 4:12 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT

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WILSON, TATIANA V       
Practice Address: 3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112-4418

Address last updated on 4/14/2024
Phone #: (405) 949-3011
Fax #: (405) 949-3573
County: OKLAHOMA
License: 5225
Dated: 2/1/2024
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:
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112-4418

Phone #: (405) 949-3011
Fax #: (405) 949-3573

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MOBOLAJI OBAFUNMILOLA OLULADE MD 29128

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