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GUS W DIXON JR

Debarred entity
TypePerson[sources]
NameGUS W DIXON JR · GUS W DIXON JR. · GUS W JR DIXON · Gus W. Dixon, Jr.[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameGus[sources]
Last nameDIXON · DIXON JR. · Dixon, Jr.[sources]
Middle nameW · W JR · W.[sources]
NPI1295971323[sources]
Registration number00G507750 · 00G507751 · 00G507752 · 00G507753 · G50775[sources]
SectorPhysician[sources]
PositionPSYCHIATRY (PHYSICIAN (MD, DO))[sources]
Address412 Termino Ave., Long Beach, CA, 90814 · 4240 COUNTY CLUB DRIVE, LONG BEACH, CA 90807 · LONG BEACH, CA 90807, USA[sources]
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US California Medicaid Suspended and ineligible providers23,294

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US SAM Procurement Exclusions105,489

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United States · OIG

Source data IDs: us-fed-excl-gus-w-dixon-90807-long-beach · us-fed-excl-gus-w-jr-dixon-90807-long-beach · us-fed-excl-gus-w-dixon-jr-90807-long-beach · us-medca-15c6224e159f45c413565152a0e833c3cc483df0

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