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JENSEN, RALPH       
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: CANCER CENTER OF SOUTHWEST OKLAHOMA
3401 W. GORE BLVD
LAWTON OK 73502

Address last updated on 4/9/2014
Phone #: (580) 355-8620
Fax #: (918) 744-3064
County: COMANCHE
License: 27418
Dated: 11/17/2009
Expires: 11/1/2014
License Type: Medical Doctor
Specialty: Radiology
Radiation Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduated: 6 / 1955
CME Year: 2015
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CANCER CENTER OF SOUTHWEST OKLAHOMA
3401 W. GORE BLVD
LAWTON OK 73502

Phone #: (580) 355-8620
Fax #: (918) 744-3064
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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