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Next Update: Thursday, December 19, 2024 2:50 AM CST

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DIEZMO, RAFAEL FERMO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: CENTRAL OK COMM M/H CENTER
909 E ALAMEDA
NORMAN OK 73070
Phone #: (405) 321-4596
Fax #:
County: CLEVELAND
License: 15190
Dated: 5/25/1985
Expires: 5/1/2008
License Type: Medical Doctor
Specialty: Psychiatry
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 7 / 1958
CME Year: 2010
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: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CENTRAL OK COMM M/H CENTER
909 E ALAMEDA
NORMAN OK 73070

Phone #: (405) 321-4596
Fax #:

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