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Last Update: Saturday, May 11, 2024 6:57 PM CDT
Next Update: Sunday, May 12, 2024 2:50 AM CDT

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STREET, WILLIE JESSE       
Practice Address: PHILLIPS 66 CORPORATION
PONCA CITY REFINERY HEALTH SERVICES
1000 S. PINE SOUTH TOWER
PONCA CITY OK 74601

Address last updated on 4/17/2024
Phone #: (580) 767-6360
Fax #: (580) 767-2006
County: KAY
License: 631
Dated: 2/27/1993
Expires: 3/31/2025
Temp. Ltr. Issued: 12/3/1992
Temp. Ltr. Expires: 2/27/1993
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:
PHILLIPS 66 CORPORATION
PONCA CITY REFINERY HEALTH SERVICES
1000 S. PINE SOUTH TOWER
PONCA CITY OK 74601

Phone #: (580) 767-6360
Fax #: (580) 767-2006

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES MICHAEL CARVER MD 17000
WILLIAM CHARLES PARSONS MD 15226

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