Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | William Gorby | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | William | [sources] | |||
ID Number | OS004909L | [sources] | |||
Last name | Gorby | [sources] | |||
Title | DO | [sources] | |||
Address | Out-of-State, PA | [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 | |||||
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Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
OUT OF STATE, PA · Out of state, PA · Out-of-State, PA · out of state, PA | United States of America |