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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | BERTO M LOPEZ | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | BERTO | [sources] | |||
| Last name | LOPEZ | [sources] | |||
| Middle name | M | [sources] | |||
| Last change | Last processed | First seen | |||
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Georgia Department of Community Health | - | - | ||
Providers who have been terminated for cause from Georgia's Medicaid program.
United States · DCH
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