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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Glen P Beaulieu Jr. · Glen P. Beaulieu Jr. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Glen | [sources] | |||
| Last name | Beaulieu | [sources] | |||
| Middle name | P · P. | [sources] | |||
| Title | PCA | [sources] | |||
| Address | Clearfield, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-52aa15059d7c5f5c9926ffa350e5b64e7ecb487f · us-medpa-de8a20320a82cba2a15cd6287fa425bb76ff7832For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Clearfield, PA | United States of America | |
| United States of America | Department of Human Services | - | - |