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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John Shavers | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: D27838 | [sources] | |||
| First name | John | [sources] | |||
| Last name | Shavers | [sources] | |||
| NPI | 1134125602 | [sources] | |||
| Sector | MD | [sources] | |||
| Address | 518 Camp Meade Road, Linthicum MD 21090 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
us-medmd-3881436dba4064ac111f902038c4e91afecf29d2 · us-npi-1134125602For experts: raw data explorer
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