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TABLIZO, MARY ANNE ARCILLA       
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: 1290 EAST SPRUCE AVE SUITE 103
FRESNO CA 93720

Address last updated on 3/29/2017
Phone #: (559) 840-0437
Fax #: (559) 840-0037
County: NOT OKLAHOMA
License: 32003
Dated: 4/25/2016
Expires: 4/1/2018
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: R Magsaysay Mem Med Ctr, Univ of the East, Coll Med, Quezon City
Graduated: 4 / 1992
CME Year: 2019
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Pulmonology
AMERICAN BOARD OF PEDIATRICS - Sleep Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1290 EAST SPRUCE AVE SUITE 103
FRESNO CA 93720

Phone #: (559) 840-0437
Fax #: (559) 840-0037
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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