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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Michelle Elizabeth Cook | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Michelle | [sources] | |||
| Last name | Cook | [sources] | |||
| Middle name | Elizabeth | [sources] | |||
| Registration number | 95103909 | [sources] | |||
| Sector | Registered Nurse | [sources] | |||
| Address | 144 Highway Dr Jefferson, LA 70121 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Health Care Services | - | |||