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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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IAGO, TAYLOR DIANE
Practice Address: INTEGRIS CANADIAN VALLEY WOMEN'S CLINIC
1205 HEALTH CENTER PARKWAY SUITE 240
YUKON OK 73099

Address last updated on 2/20/2024
Phone #: (405) 717-5496
Fax #: (405) 717-5499
County: CANADIAN
License: 2963
Dated: 12/13/2018
Expires: 3/31/2025
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:
INTEGRIS CANADIAN VALLEY WOMEN'S CLINIC
1205 HEALTH CENTER PARKWAY SUITE 240
YUKON OK 73099

Phone #: (405) 717-5496
Fax #: (405) 717-5499

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GREGORY P ROOT DO 5273

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