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Blaine Lisner

Debarred entity
TypePerson[sources]
NameBlaine Lisner[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense number: 25368[sources]
First nameBlaine[sources]
Last nameLisner[sources]
NPI1629085949[sources]
Last changeLast processedFirst seen

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Data sources

US Kentucky Terminated and Excluded Providers366

Medical providers terminated or excluded from Kentucky's Medicaid program.

United States · DMS


Source data IDs: us-medky-7f2de92c2775693d78d9a9335361af9e8b149b14 · us-npi-1629085949

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