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Oklahoma Board of Medical Licensure and Supervision

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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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NELSON, BENJAMIN EDWARD
Practice Address: 3401 W. GORE BLVD
LAWTON OK 73505

Address last updated on 4/9/2024
Phone #: (580) 355-8620 x7088
Fax #:
County: COMANCHE
License: 25
Dated: 12/18/2018
Expires: 1/31/2020
License Type: Provisionally Licensed Perfusionist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
3401 W. GORE BLVD
LAWTON OK 73505

Phone #: (580) 355-8620 x7088
Fax #:

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