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Youngsik Moon

Debarred entity
TypePerson[sources]
NameYoungsik Moon[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense No: D09178[sources]
First nameYoungsik[sources]
Last nameMoon[sources]
NPI1245263193[sources]
SectorMD[sources]
Address24435 Mervell Dean Road, Hollywood, MD 20636[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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