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Canonical ID: NK-2Gp7cZDTYf9NHqr8RzHj83 · Entity type: Person (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 1683 Laguna Drive, Idaho Falls ID 83404 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:country | us | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:description | License No: H69899 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:firstName | Matthew | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:id | ff81a0a63e679a0001200efd9632beec85a04260 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:lastName | Black | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:name | Matthew Black | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:npiCode | 1437339900 | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:sector | DO | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||
Person:topics | debarment | eng | us_md_med_exclusions | us-medmd-08bb1aed5051175ceb5c0d274008482464b51c6c | |||