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MABRY, MYRA ANN

Debarred entity

MABRY, MYRA ANN is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	MABRY, MYRA ANN				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
NPI	`1306070719`				[sources]
Sector	MD				[sources]
Status	not available				[sources]
Address	GLEN RAY ROAD, BOX A, ALDERSON, WV 24910				[sources]
Last change	2024-12-05	Last processed	2024-12-16	First seen	2024-12-05

Address
Full address	Country
GLEN RAY ROAD, BOX A, ALDERSON, WV 24910	United States

Sanctions
Authority	Program	Start date	End date
New Jersey Office of the State Comptroller	-	2021-07-20	-

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

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