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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Ahmad, Ali | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1427583293 | [sources] | |||
| Sector | Psychiatry/Neurology | [sources] | |||
| Address | 830 S Gloster Street Tupelo, MS 38801-4934 | [sources] | |||
| Last change | Last processed | First seen | |||
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States of America · Mississippi Division of Medicaid
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