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Jack Powell

Debarred entity
TypePerson[sources]
NameJack Powell[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D36483[sources]
First nameJack[sources]
Last namePowell[sources]
SectorMD[sources]
Address23704 Ocean Gateway, Mardela Springs MD 21837[sources]
Last changeLast processedFirst seen

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Data sources

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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