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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Demetrius L Clark · Demetrius L. Clark | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Demetrius | [sources] | |||
| Last name | Clark | [sources] | |||
| Middle name | L · L. | [sources] | |||
| Title | PCA | [sources] | |||
| Address | Philadelphia, 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-5d3529f5455c268cfa89e31223d90062ffb0b1b8 · us-medpa-ecc10188380a1843a6f12a099a862ec3cde4a1c9For 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 | |
| Philadelphia, PA | United States of America | |
| United States of America | Department of Human Services | - | - |