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TAYLOR, CHARLES WILLIAM III
Practice Address: CHICKASAW NATION HLTH CLINIC
2510 CHICKASAW BLVD
ARDMORE OK 73401
Phone #:
Fax #:
County: CARTER
License: 683
Dated: 12/15/1994
Expires: 3/31/1998
Temp. Ltr. Issued: 8/4/1994
Temp. Ltr. Expires: 3/25/1995
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
CHICKASAW NATION HLTH CLINIC
2510 CHICKASAW BLVD
ARDMORE OK 73401

Phone #:
Fax #:

Hospital Privileges:

None listed

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