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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Diedra A Davis-Alston · Diedra A. Davis-Alston | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Diedra | [sources] | |||
| ID Number | DS025045L | [sources] | |||
| Last name | Davis-Alston | [sources] | |||
| Middle name | A · A. | [sources] | |||
| NPI | 1578683975 | [sources] | |||
| Title | DDS | [sources] | |||
| Address | Bedford, 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-7eb9095c9b69cd8e2e20b173599903446d2fd05e · us-medpa-42dff63ea07bf90bd1629235a37a3d51d5fcbc46For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Bedford, PA | United States | |
| United States | Department of Human Services | - | - |