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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | AMANDA LIESTA HENDRICKSON | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | AMANDA | [sources] | |||
| Last name | HENDRICKSON | [sources] | |||
| Middle name | LIESTA | [sources] | |||
| NPI | 1851742001 | [sources] | |||
| Position | COUNSELOR (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 400 N FOOTHILL DR, APT D125, YREKA, CA 96097 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
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