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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 21, 2024 4:52 AM CDT
Next Update: Tuesday, May 21, 2024 12:00 PM CDT

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BENABOU, TEHILLA S       
Practice Address: QUALIPHY PC TELEMEDICINE
113 N SAN VICENTE BLVD, 3RD FLOOR
BEVERLY HILLS CA 90211

Address last updated on 5/7/2024
Phone #: (424) 257-2977
Fax #:
County: NOT OKLAHOMA
License: 5252
Dated: 4/24/2024
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
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:
QUALIPHY PC TELEMEDICINE
113 N SAN VICENTE BLVD, 3RD FLOOR
BEVERLY HILLS CA 90211

Phone #: (424) 257-2977
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Lane Thaut DO 7822

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