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Next Update: Saturday, May 18, 2024 12:00 PM CDT
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BLANCO, RUPERTO DIVINO
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| Practice Address: |
HEALTHY FAMILY PHYSICIANS
2021 44TH ST
GRAND RAPIDS MI 49508
Address last updated on 12/5/2008 |
| Phone #: |
(616) 827-2020 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
26697 |
| Dated: |
12/18/2008 |
| Expires: |
12/1/2009 |
|
Temp.
Lic.
Issued:
|
12/5/2008 |
|
Temp.
Lic.
Expires:
|
1/30/2009 |
| 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: |
NO |
| Medical School: |
Manila Central Univ, Coll Of Med, Caloocan City, Rizal, Philippines |
| Graduated: |
4 /
1985 |
| CME Year: |
2011 |
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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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