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Next Update: Thursday, December 19, 2024 12:00 PM CST

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GUTIERREZ, NICASIO DE GUZMAN       
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: EASTERN STATE HOSPITAL
PO BOX 69
VINITA OK 73841
Phone #:
Fax #:
County: CRAIG
License: 21598
Dated: 9/15/1978
Expires: 9/1/2000
License Type: Medical Doctor
Specialty: Psychiatry
Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to: EASTERN STATE HOSPITAL
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 6 / 1949
CME Year: 2000
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:
EASTERN STATE HOSPITAL
PO BOX 69
VINITA OK 73841

Phone #:
Fax #:

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