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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John Pellegrini | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | John | [sources] | |||
| Last name | Pellegrini | [sources] | |||
| NPI | 1801080247 | [sources] | |||
| Address | 404 Carriage Drive, Beckley, WV 25801 | [sources] | |||
| Last change | Last processed | First seen | |||
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Medicaid Management Information System | - | - | ||
| Address | ||
|---|---|---|
| Full address | Country | |
| 404 Carriage Drive, Beckley, WV 25801 | United States of America | |
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
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