| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Norman L. Clark | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: D42095 | [sources] | |||
| First name | Norman L. | [sources] | |||
| Last name | Clark | [sources] | |||
| Sector | MD | [sources] | |||
| Address | Univ of MD Hosp, 22 S. Greene St, Baltimore MD 21201 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
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