Statements: Petkovsek, Alexander James

Canonical ID: us-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:addressMyrtle Beach, SC 29572engus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:countryusengus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:id9c55fa9c0cdcdaeda9ac7e83632a94e0748f41b5engus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:namePetkovsek, Alexander Jamesengus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:npiCode1013455302engus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:sectorInd-Lic HC Serv Prov - Nurse Practitionerengus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
LegalEntity:topicsdebarmentengus_sc_med_exclusionsus-medsc-c51fa8908ca6893adc8a3cd348d1ccd8da053bf2
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