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Asfora, Wilson

Debarred entity
TypeLegal entity[sources]
NameAsfora, Wilson[sources]
Legal formnot available[sources]
CountryUnited States[sources]
NPI1194706754[sources]
SectorPhysician[sources]
Statusnot available[sources]
Address1210 W 18th St, Ste 100 Sioux Falls, SD 57104-9890[sources]
Last changeLast processedFirst seen

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Data sources

US North Dakota Medicaid Terminated Provider List198

This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.

United States of America · NDHHS


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