Statements: ANDRE LAMAR WALLACE

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

PropertyValueLangSource datasetSource IDFirst seen
Person:address2701 MADISON STREET, APT G268, CHESTER, PA 19013engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:birthDate1977-08-26engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:countryusengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:firstNameANDREengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:idf7393cbe10d2342623925105caeaf38c8e7717baengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:lastNameWALLACEengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:middleNameLAMARengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:nameANDRE LAMAR WALLACEengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
Person:npiCode1578178844engus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
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:topicsdebarmentengus_hhs_exclusionsus-fed-excl-andre-lamar-wallace-19013-chester
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