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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BLANCO, RUPERTO DIVINO       
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: HEALTHY FAMILY PHYSICIANS
2021 44TH ST
GRAND RAPIDS MI 49508

Address last updated on 12/5/2008
Phone #: (616) 827-2020
Fax #:
County: NOT OKLAHOMA
License: 26697
Dated: 12/18/2008
Expires: 12/1/2009
Temp. Lic. Issued: 12/5/2008
Temp. Lic. Expires: 1/30/2009
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Manila Central Univ, Coll Of Med, Caloocan City, Rizal, Philippines
Graduated: 4 / 1985
CME Year: 2011
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HEALTHY FAMILY PHYSICIANS
2021 44TH ST
GRAND RAPIDS MI 49508

Phone #: (616) 827-2020
Fax #:

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