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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John S. Kondus | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| ID Number | DC006764L | [sources] | |||
| Last name | Kondus | [sources] | |||
| Middle name | S. | [sources] | |||
| NPI | 1790855658 | [sources] | |||
| Title | DC | [sources] | |||
| Address | (SC), (SC) | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (SC), (SC) · SC, SC | United States | |