Statements: Gonzalez, Angel

Canonical ID: us-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressPO Box 20 Bowdon, ND 58418engus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:descriptionMedicaid Provider ID: 1487373engus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:id8d6422ab920bc63c89a8e27ad081cfbbe9a7fa7cengus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:nameGonzalez, Angelengus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:npiCode1508444993engus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:sectorQualified Service Providerengus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-1825bc704bc9ee1251931ac0ace22c962a61e218
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