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Samuel J. Daisley Jr.

Debarred entity
TypePerson[sources]
NameSamuel J Daisley · Samuel J. Daisley Jr.[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
First nameSamuel[sources]
ID NumberOS006385L · OS006385L (PA) · PROMISe#: 001185330[sources]
Last nameDaisley[sources]
Middle nameJ · J.[sources]
NPI1669507505[sources]
TitleDO[sources]
AddressCrawford, PA · Mercer, PA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Pennsylvania Medicheck list6,021

Medical providers who are precluded from participation in the Medical Assistance Program

United States of America · DHS

US Delaware Medicaid Sanctioned Providers1,313

List of providers excluded from participating in the Delaware Medicaid program.

United States of America · DHSS


Source data IDs: us-medpa-a962bb4e5ac7c6044db34d77528e3ff9b70cb81b · us-medpa-34fd0aad12b842dd121b1819a87d56badf11fbb9 · us-medde-7245f7400b5593771200f49c6c6fc08cdda9d07d

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