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Last Update: Wednesday, May 15, 2024 4:19 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT
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DIOMANDE, KOSSA
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| Practice Address: |
MEDWISE LLC
11495 S STATE HWY 51
COWETA OK 74429
Address last updated on 4/4/2024 |
| Phone #: |
(918) 994-3482 |
| Fax #: |
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| County: |
WAGONER |
| License: |
4793 |
| Dated: |
5/2/2022 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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4/5/2022 |
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Temp.
Ltr.
Expires:
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5/12/2022 |
| 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:
None listed
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