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FCI Terminal Island

Debarred entity
TypeCompany[sources]
NameFCI Terminal Island[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionProvider Number: 7633A(WY), 37896 (AZ) NPI: 1760524573[sources]
Registration numbernot available[sources]
SectorPhysician (MD, DO) Pain Management[sources]
AddressSan Pedro, CA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Wyoming Medicaid Provider Exclusion List187

Medical providers deemed ineligible to participate in Wyoming's Medicaid program.

United States · WDH


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