Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Dominique A Palmer · Dominique A. Palmer | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Dominique | [sources] | |||
ID Number | PN306444 | [sources] | |||
Last name | Palmer | [sources] | |||
Middle name | A · A. | [sources] | |||
NPI | 1154898765 | [sources] | |||
Address | (IN), (IN) | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-af7953441e6b6fc5095d7f5b5af44cdfcb3620a1
· us-medpa-9f3344e034d2e736be51ce21d5be0f76ee805270
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
(IN), (IN) | United States of America |