Type not stated

DEDNAM, SAMUEL D

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: 12412

Sanctions and listings1

  • Effective
    4 Apr 2014

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    FRAUD

    mmac.mo.gov

Identifiers1

IdentifierNumber
NPI number1821153073

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