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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Robert Clayton Thompson, Jr. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Robert Clayton | [sources] | |||
| Last name | Thompson, Jr. | [sources] | |||
| NPI | 1699837294 | [sources] | |||
| Address | 238 Colfox Camp Road, Fairmont, WV 26554 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 238 Colfox Camp Road, Fairmont, WV 26554 | United States | |