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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Mark Anthony Wimbley | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Mark | [sources] | |||
| Last name | Wimbley | [sources] | |||
| Middle name | Anthony | [sources] | |||
| Registration number | 00G753820 · 00G753821 · G 75382 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 12 Freedom Place, Irvine, CA, 92602 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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