Annie Borders-Blackwell

Debarred entity

Born 4 Apr 1955 (71 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
20 Nov 2017
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Criminal Conduct
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1891750923

Addresses1

101 N Edwards Avenue

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