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Canonical ID: NK-ZwFwi7SBapWoToECdCyJWm · Entity type: Person (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | Delaware, PA | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:addressEntity | addr-ecdb000f25d1714424d990a2026130e332e3baaf | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:country | us | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:firstName | Andre | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:id | a3d00cffdc7fdcaa4330d994c14c295f4852afbc | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:idNumber | MSG007581 | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:lastName | Wallace | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:middleName | L. | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:name | Andre L. Wallace | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:npiCode | 1578178844 | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:title | Massage Therapist | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||
Person:topics | debarment | us_pa_med_exclusions | us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd | ||||