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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | RIVERA DEBORA LYNN LPN | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00240236 | [sources] | |||
| NPI | 1063612489 | [sources] | |||
| Sector | Licensed Practical Nurse | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-4371066a7d372115c70e323bd5739c3356a56727 · us-npi-1063612489For experts: raw data explorer
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