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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Stephanie L. Shook | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Stephanie | [sources] | |||
| ID Number | PN264563 | [sources] | |||
| Last name | Shook | [sources] | |||
| Middle name | L. | [sources] | |||
| Title | LPN | [sources] | |||
| Position | LPN | [sources] | |||
| Address | Mercer, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-41de4f665417fa34dc5019ff1ba869ad695db2f4 · us-medde-31c388ec43a903e9b614d882b66c3ffb6c3809d4For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Mercer, PA | United States | |
| United States | Department of Human Services | - | - |