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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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DIEZMO, RAFAEL FERMO
Practice Address: CENTRAL OK COMM M/H CENTER
909 E ALAMEDA
NORMAN OK 73070
Phone #: (405) 321-4596
Fax #:
County: CLEVELAND
License: 15190
Dated: 5/25/1985
Expires: 5/1/2008
License Type: Medical Doctor
Specialty: Psychiatry
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 7 / 1958
CME Year: 2010
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: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CENTRAL OK COMM M/H CENTER
909 E ALAMEDA
NORMAN OK 73070

Phone #: (405) 321-4596
Fax #:

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