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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Charles Arthur McDyer, JR. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | RN600126 | [sources] | |||
| Position | RN | [sources] | |||
| Last change | Last processed | First seen | |||
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | - | ||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
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