Statements: CLARK, ALLAN

Canonical ID: us-mednj-a6590546dbef84567cd753312da35ce98934e8c0 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address1200 VILLAGE DRIVE, APT 2413, PITTSBURGH, PA 15241engus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:addressEntityaddr-c8a797769d52001f0cb0a21ce41457035e564704engus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:countryusengus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:id408bfd693b40a5781cd960e10b9a031e29cb9715engus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:nameCLARK, ALLANengus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:npiCode1033260120engus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:sectorMDengus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
LegalEntity:topicsdebarmentengus_nj_med_exclusionsus-mednj-a6590546dbef84567cd753312da35ce98934e8c0
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