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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MARY KELLY SUTTON · Mary Kelly Sutton | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | MARY · Mary | [sources] | |||
| Last name | SUTTON · Sutton | [sources] | |||
| Middle name | KELLY · Kelly | [sources] | |||
| NPI | 1770672230 | [sources] | |||
| Registration number | 00G769320 · G 76932 | [sources] | |||
| Sector | Physician | [sources] | |||
| Unique Entity ID | CXQLZK79DLH3 | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 2050 Smith Street, P.O. Box 114022, North Providence, RI, 02911 · NORTH ATTLEBORO, MA 2761, USA · P O BOX 885, NORTH ATTLEBORO, MA 02761 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-fed-excl-mary-kelly-sutton-2761-north-attleboro · us-fed-excl-mary-kelly-sutton-02761-north-attleboro · us-medca-a440f7eec8170119a670ca9c7dd605aad8f2454fFor experts: raw data explorer
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