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James Prommersberger

Debarred entity
TypePerson[sources]
NameJames Prommersberger[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameJames[sources]
Last namePrommersberger[sources]
NPI1073584866[sources]
Address940 Windham Court, Boardman, OH 44512[sources]
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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations306

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS


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