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Otherine Latrice Wallace

Debarred entity
TypePerson[sources]
NameOtherine Latrice Wallace[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameOtherine Latrice[sources]
Last nameWallace[sources]
AddressWest Memphis, AR 72301[sources]
Last changeLast processedFirst seen

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Data sources

US Arkansas Medicaid Excluded Provider List2,543

This dataset contains a list of providers who have been excluded from Arkansas's Medicaid program.

United States · DHS


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