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Jacob Lawrence Klein

Debarred entity

Jacob Lawrence Klein is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Jacob Lawrence Klein				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
Description	License number(s): 54936 · Provider number(s): 1861865552				[sources]
First name	Jacob				[sources]
Last name	Klein				[sources]
Middle name	Lawrence				[sources]
Sector	Physician Assistant				[sources]
Address	400 Chestnut Bluff Lane, Wirtz, VA, 24184				[sources]
Last change	2024-11-16	Last processed	2024-11-16	First seen	2024-11-16

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2024-08-20	-

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

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