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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT
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BLAKE, GREGORY HAROLD
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| Practice Address: |
1920 CHADWICK DR
JACKSON MS 39204
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
14876 |
| Dated: |
7/6/1984 |
| Expires: |
6/30/1992 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
| Graduated: |
6 /
1977 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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