Statements: JACKIE DOUGLAS WOODBURN

Canonical ID: NK-bBYCEyWsXrT5SMesgbcJDW · Entity type: Person (reference)

PropertyValueLangSource datasetSource IDFirst seen
Person:address1101 MILITARY ST, PORT HURON, MI 480605418ext_us_cms_npius-npi-1306009196
Person:addressP O BOX 10, #56626-039, LISBON, OH 44432engus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:addressLISBON, OH 44432engus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:addressPort Huron, MIengus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:birthDate1954-07-30us_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:countryusus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:countryusext_us_cms_npius-npi-1306009196
Person:countryusus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:countryusus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:createdAt2022-09-13us_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:firstNameJACKIEengus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:firstNameJACKIEengus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:firstNameJackengus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:firstNameJACKext_us_cms_npius-npi-1306009196
Person:idaec74d9f4c2601aa9a707f3c9c830fd96a37bf81ext_us_cms_npius-npi-1306009196
Person:id6b1b6d4b557a007060c2432fa02462393dd22e9dus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:idc0ba5f87c8f1b8e9e34065042c45b63477ce3ebbus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:idd452f966f0c790403a8381f9028c60d20d1f5a63us_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:lastNameWOODBURNext_us_cms_npius-npi-1306009196
Person:lastNameWOODBURNengus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:lastNameWOODBURNengus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:lastNameWoodburnengus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:middleNameDOUGLASengus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:middleNameDext_us_cms_npius-npi-1306009196
Person:middleNameDOUGLASengus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:nameJACKIE DOUGLAS WOODBURNengus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:nameJACK D WOODBURNext_us_cms_npius-npi-1306009196
Person:nameJack Woodburnengus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:nameJACKIE DOUGLAS WOODBURNengus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:npiCode1306009196engus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:npiCode1306009196engus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:npiCode1306009196ext_us_cms_npius-npi-1306009196
Person:positionCOUNSELOR (IND- LIC HC SERV PRO)engus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:programIdUS-HHS-OIGengus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:sectorCounselorengus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:titleMR.ext_us_cms_npius-npi-1306009196
Person:topicsdebarmentus_hhs_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:topicsdebarmentus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
Person:topicsdebarmentus_mi_med_exclusionsus-medmi-46f108a38015d1a51557f9347cabb1e7f5c94daf
Person:uniqueEntityIdE1PEUD27ZTJ4engus_sam_exclusionsus-fed-excl-jackie-douglas-woodburn-44432-lisbon
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