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Cruel, Larry

Debarred entity
TypeLegal entity[sources]
NameCruel, Larry[sources]
Legal formnot available[sources]
CountryUnited States[sources]
NPI1609996982[sources]
SectorPodiatrist[sources]
Statusnot available[sources]
Address426 Abbey Woods Brandon, MS 39047[sources]
Last changeLast processedFirst seen

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Data sources

US Mississippi Medicaid Terminated Provider List213

Service providers who have been terminated for cause from Mississippi's Medicaid program.

United States · Mississippi Division of Medicaid


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