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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Simmon L Wilcox | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Simmon | [sources] | |||
| ID Number | MD033724E | [sources] | |||
| Last name | Wilcox | [sources] | |||
| Middle name | L | [sources] | |||
| NPI | 1205890027 | [sources] | |||
| Address | (CA), (CA) | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| ( CA), ( CA) · (CA), (CA) · (Ca), (Ca) · CA, CA | United States of America | |