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KIRSTEN AMANDA WALLACE

Debarred entity

KIRSTEN AMANDA WALLACE is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	KIRSTEN AMANDA WALLACE · Kirstein Amanda Wallace				[sources]
Birth date	1973-04-03				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	KIRSTEN · Kirstein				[sources]
Last name	Wallace				[sources]
Middle name	Amanda				[sources]
NPI	`1063891596` · `1134583198` · `1851788707` · `1861948705` · `1972965614`				[sources]
Sector	Other				[sources]
Unique Entity ID	`FP1JEVHXN9K3`				[sources]
Position	SUBSTANCE ABUSE REHA (BUS OWNER/EXEC)				[sources]
Address	3802 LOST SPRING DRIVE, AGOURA HILLS, CA 91301 · 3802 Lost Spring Drive, Agoura Hills, CA, 91301 · AGOURA HILLS, CA 91301				[sources]
Last change	2025-12-29	Last processed	2025-12-29	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	OPM		2022-07-30	-

People and companies excluded from Federally funded health care programs

United States · OIG

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

United States · DHCS

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

United States · GSA

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

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