Statements: ANDRE LAMAR WALLACE

Canonical ID: NK-ZwFwi7SBapWoToECdCyJWm · Entity type: Person (reference)

PropertyValueLangSource datasetSource IDFirst seen
Person:addressDelaware, PAus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:address2701 MADISON STREET, APT G268, CHESTER, PA 19013engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:addressCHESTER, PA 19013engus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:addressEntityaddr-ecdb000f25d1714424d990a2026130e332e3baafus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:birthDate1977-08-26us_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:countryusus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:countryusus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:countryusus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:createdAt2023-05-25us_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:firstNameAndreus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:firstNameANDREengus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:firstNameANDREengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:id9b9f06d90c2c486a8da679638668323f193ed99cus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:ida3d00cffdc7fdcaa4330d994c14c295f4852afbcus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:ida6ed4ee73b190d341669f36933db6e1fda72f2aeus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:idNumberMSG007581us_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:lastNameWALLACEengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:lastNameWallaceus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:lastNameWALLACEengus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:middleNameLAMARengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:middleNameL.us_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:middleNameLAMARengus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:nameANDRE LAMAR WALLACEengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:nameANDRE LAMAR WALLACEengus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:nameAndre L. Wallaceus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:npiCode1578178844engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:npiCode1578178844us_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:positionTHERAPIST (IND- LIC HC SERV PRO)engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:programIdUS-HHS-OIGengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:titleMassage Therapistus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:topicsdebarmentus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:topicsdebarmentus_pa_med_exclusionsus-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd
Person:topicsdebarmentus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:uniqueEntityIdVGAKGC6UX247engus_sam_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
  • Previous
  • 1 - 34 of 34
  • Next