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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT
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PERCIVAL, CARMEN ANNETTE |
| Practice Address: |
LAWTON IHS
1515 LAWRIE TATUM RD
LAWTON OK 73507
Address last updated on 3/14/2024 |
| Phone #: |
(580) 354-5404 |
| Fax #: |
(580) 354-5409 |
| County: |
COMANCHE |
| License: |
998 |
| Dated: |
3/8/2000 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/7/2000 |
|
Temp.
Ltr.
Expires:
|
3/11/2000 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
USPHS Lawton Indian Hospital
Lawton, OK
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