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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Mark Clarkson | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Mark | [sources] | |||
| Last name | Clarkson | [sources] | |||
| NPI | 1508886987 | [sources] | |||
| Address | PO Box 590, Union, WV 24983 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
us-medwv-71ac903733765acda6b70da2765b2189e1733edb · us-fed-excl-mark-clarkson-24963-peterstownFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Medicaid Management Information System | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| PO Box 590, Union, WV 24983 | United States of America | |