Statements: BETHENA S JACKSON

Canonical ID: NK-5Vuxw94g6DUb4qXS9hWDch · Entity type: Person (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressLouisville, KY 40211engus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:countryusengus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:idc7b41bb4c37db7ef79fe2a1a1eb838e23ac5a6beengus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:nameJackson, Bethenaengus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:npiCode1679821227engus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:npiCode1518299791engus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:npiCode1881930006engus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:sectorBus Owner/Exec - Substance Abuse Rehab Facilityengus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
LegalEntity:topicsdebarmentengus_sc_med_exclusionsus-medsc-2466419c1819a625934142160cdce6ae83416b14
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