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Oklahoma Board of Medical Licensure and Supervision

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DIEZ, BLANCA
Practice Address: 79300 BROOKVILLE
LA QUINTA CA 92253-8226

Address last updated on 7/24/2018
Phone #: (281) 333-2278
Fax #: (442) 256-4424
County: NOT OKLAHOMA
License: 12876
Dated: 8/12/1976
Expires: 8/1/2019
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Nac Auto De Mexico, Esc Nac De Est Prof, Mexico
Graduated: 9 / 1973
CME Year: 2021
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: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
79300 BROOKVILLE
LA QUINTA CA 92253-8226

Phone #: (281) 333-2278
Fax #: (442) 256-4424
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

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