Canonical ID: us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 | |||
LegalEntity:id | dfa718663b2684b93131aa66e5e2d3619bd925ce | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 | |||
LegalEntity:name | BLAKELEY, ANGELA DAWN | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 | |||
LegalEntity:npiCode | 1205055761 | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 | |||
LegalEntity:sector | 49- LICENSED PROFESSIONAL COUNSELOR | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-900165285e5484a40a334fe1c2eb91b3e75476b7 |