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Jawdat Othman

Debarred entity
TypePerson[sources]
NameJawdat Othman[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameJawdat[sources]
Last nameOthman[sources]
NPI1669464004[sources]
AddressRR 2 Box 169, Greyrock Professional Park, Lewisburg, WV 24901[sources]
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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations329

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States of America · MMIS


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