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Tracie Antes

Debarred entity
TypePerson[sources]
NameTracie Antes[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: R208920[sources]
First nameTracie[sources]
Last nameAntes[sources]
NPI1447672308[sources]
SectorNurse[sources]
Address1800 Orleans Street, Bloomberg 6313, Baltimore, MD 21287[sources]
Last changeLast processedFirst seen

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Data sources

US Maryland Sanctioned Providers1,584

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

United States · MDH


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