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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | KENDRA PEARL WATTS | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1114428034 | [sources] | |||
| Status | not available | [sources] | |||
| Address | RONDA, NC 28670 | [sources] | |||
| Last change | Last processed | First seen | |||
Service providers who have been terminated for cause from North Carolina's Medicaid and other Health Programs.
United States · NC Medicaid Division of Health Benefits
us-mednc-133868878c319395d53ae7688d94d55776dfce07 · us-npi-1114428034For experts: raw data explorer
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