Statements: Andre V. Blaylock

Canonical ID: NK-XFNPne7hY55CWAoQBypdkp · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	9985 Sierra, Fontana, CA, 92335	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`Person:country`	us		us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`LegalEntity:country`	us		us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:firstName`	Andre	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`LegalEntity:id`	9d4e8e0c596cd5e665f3606f023856cb7128eddf		us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:id`	11163733c408f5bdf1002456fea8f2742fd0e9b4		us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-12-12
`LegalEntity:idNumber`	G-51438	eng	us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:lastName`	Blaylock	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`Person:middleName`	V.	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`LegalEntity:name`	Andre Vergene Blaylock	eng	us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:name`	Andre V. Blaylock	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`LegalEntity:npiCode`	1235287160	eng	us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:npiCode`	1235287160	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-12-12
`Person:registrationNumber`	00G514380	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-12-12
`Person:registrationNumber`	G51438	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-12-12
`LegalEntity:registrationNumber`	00G514380	eng	us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:sector`	Physician	eng	us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07
`LegalEntity:topics`	debarment		us_de_med_exclusions	`us-medde-dca410d9ed5ad9b40a10d065dbf31124589592cc`	2025-05-21
`Person:topics`	debarment		us_ca_med_exclusions	`us-medca-91a4f8827610ef23b91e8bca5ce72a5eafb2e3ee`	2024-11-07

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