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Kackman, Shanon

Debarred entity
TypeLegal entity[sources]
NameKackman, Shanon[sources]
Legal formnot available[sources]
CountryUnited States[sources]
SectorLicensed Practical Nurse, L12503 ND[sources]
Statusnot available[sources]
AddressPO BOX 424 Lidgerwood, ND 58053[sources]
Last changeLast processedFirst seen

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Data sources

US North Dakota Medicaid Terminated Provider List194

This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.

United States · NDHHS


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