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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, May 5, 2024 2:50 AM CDT

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WAGNON, MARION CAROL
Practice Address: 1405 LAMPLIGHTER LANE
EDMOND OK 73034-4935

Address last updated on 10/14/2011
Phone #: (405) 715-1554
Fax #: (405) 715-1787
County: OKLAHOMA
License: 7598
Dated: 6/1/1961
Expires: 6/1/2012
License Type: Medical Doctor
Specialty: Family Medicine
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1960
CME Year: 2013
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.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CIGNA HMO
CIGNA PPO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
1405 LAMPLIGHTER LANE
EDMOND OK 73034-4935

Phone #: (405) 715-1554
Fax #: (405) 715-1787

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