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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Wigberto Camomot | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Wigberto | [sources] | |||
| Last name | Camomot | [sources] | |||
| NPI | 1093808172 | [sources] | |||
| Address | Po Box 329, Red Jacket, WV 25692 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
us-npi-1093808172 · us-medwv-a83629435393d852943b9a75c68c4b982f90c246For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Medicaid Management Information System | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Po Box 329, Red Jacket, WV 25692 | United States | |