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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | JLA SENIOR FOOTCARE MO LLC | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1649587122 | [sources] | |||
| Sector | 50-INDEPENDENT CLINIC | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from Missouri's Medicaid program.
United States · MMAC
us-medmo-2b967d94b0e102addb7e649fda0e329a9f11c812 · us-npi-1649587122For experts: raw data explorer
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