Canonical ID: us-mednd-4367d0b77b42d881066e469453aceb231898292b · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 517 28th Ave N Apt 7 Fargo, ND 58102 | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:description | Medicaid Provider ID: 1454220 | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:id | 8df816c9ba7985c39fcfaec6bb062c1d81290627 | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:name | Yarber, Margie | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-4367d0b77b42d881066e469453aceb231898292b | |||