Statements: Forderer, Kevin

Canonical ID: us-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address13801 10th Ave SE Bismarck, ND 58504engus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:descriptionMedicaid Provider ID: 1451689engus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:id44157404219e57c76d7c5e5b7d79d92a23ce6877engus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:nameForderer, Kevinengus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:npiCode1568061018engus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:sectorAdult Foster Care/ Qualified Service Providerengus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-e07857b0ba6aceba08aa82208a6ab1573506d269
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