Statements: Forderer, Susan

Canonical ID: us-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressGrand Forks, ND 58201engus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:descriptionMedicaid Provider ID: 1451691engus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:idc26481604c6d0f71013f2a8c72d902027fa6ae42engus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:nameForderer, Susanengus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:npiCode1386246916engus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:sectorAdult Foster Care/ Qualified Service Providerengus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-59188a5e4b5b46f49d171e86c8da3e4088401dfb
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