Statements: ANDRE LAMAR WALLACE

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

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	435 W ROOSEVELT BLVD APT 2, PHILADELPHIA, PA 191204148		ext_us_cms_npi	`us-npi-1578178844`	2026-02-04
`Person:address`	Delaware, PA		us_pa_med_exclusions	`us-medpa-7bc1d8ef99c2646b202c12a863fabcf27ead35bd`	2024-11-29
`Person:address`	CHESTER, PA 19013	eng	us_sam_exclusions	`us-fed-excl-andre-lamar-wallace-19013-chester`	2025-12-29
`Person:address`	2701 MADISON STREET, APT G268, CHESTER, PA 19013	eng	us_hhs_exclusions	`us-fed-excl-andre-lamar-wallace-19013-chester`	2024-06-06