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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | KIMYATTA FAIR · Kimyatti Fair | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0303392 | [sources] | |||
| First name | KIMYATTA · Kimyatti | [sources] | |||
| Last name | Fair | [sources] | |||
| NPI | 1205429172 | [sources] | |||
| Sector | 25 - Non-Agency Personal Care Aide | [sources] | |||
| Position | HEALTH CARE AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 3974 E 121ST STREET, CLEVELAND, OH 44105 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
People and companies excluded from Federally funded health care programs
United States · OIG
us-medoh-ed0069e6ba850213bdb1568a626e0c623d49ccbf · us-fed-excl-kimyatta-fair-44105-clevelandFor experts: raw data explorer
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| United States | Ohio Department of Medicaid | - | - |