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John Braxton, Jr.

Debarred entity
TypePerson[sources]
NameJohn Braxton, Jr.[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D00516[sources]
First nameJohn[sources]
Last nameBraxton, Jr.[sources]
NPI1457322364[sources]
SectorMD[sources]
Address1940 W. Baltimore Street, Baltimore MD 21225[sources]
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US Maryland Sanctioned Providers1,576

Medical providers deemed ineligible to participate in Maryland's Medicaid program.

United States of America · MDH


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