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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Brian Jimenez | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider Number: 129379600 | [sources] | |||
| First name | Brian | [sources] | |||
| Last name | Jimenez | [sources] | |||
| Sector | Occupational Therapist | [sources] | |||
| Address | Cheyenne, WY | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Wyoming's Medicaid program.
United States · WDH
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Cheyenne, WY | United States | |
| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Indulge, PLLC Debarred entity | - | - | - | |