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KIRSTEN AMANDA WALLACE

Debarred entity
TypePerson[sources]
NameKIRSTEN AMANDA WALLACE · Kirstein Amanda Wallace[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameKIRSTEN · Kirstein[sources]
Last nameWallace[sources]
Middle nameAmanda[sources]
NPI1063891596 · 1134583198 · 1851788707 · 1861948705 · 1972965614[sources]
SectorOther[sources]
Unique Entity IDFP1JEVHXN9K3[sources]
PositionSUBSTANCE ABUSE REHA (BUS OWNER/EXEC)[sources]
Address3802 LOST SPRING DRIVE, AGOURA HILLS, CA 91301 · 3802 Lost Spring Drive, Agoura Hills, CA, 91301 · AGOURA HILLS, CA 91301, USA[sources]
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US SAM Procurement Exclusions105,482

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

US California Medicaid Suspended and ineligible providers23,341

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

US Health and Human Sciences Inspector General Exclusions81,173

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-kirsten-amanda-wallace-91301-agoura-hills · us-medca-6a6d86eaf0db84da0d9a3b5913e6286fdd7ff004

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