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Amanda Anderson

Debarred entity
TypePerson[sources]
NameAmanda Anderson[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameAmanda[sources]
Last nameAnderson[sources]
NPI1124634860[sources]
Address2503 Beverly Street, Apt. 12B, Parkersburg, WV 26101[sources]
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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations337

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS


Source data IDs: us-medwv-c55d7c508bd4bf1a046d55555577e2b4a8a2541f · us-npi-1124634860

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