LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE ,,,"ELITE BEHAVIORAL THERAPIES, IN",OTHER BUSINESS,COMM MNTL HLTH CNTR,,1346667144,,"4501 CEDROS AVE, UNIT 124",SHERMAN OAKS,CA,91403,1128a1,20240418,0,0, ,,,"JOY BEHAVIORAL HEALTH, LLC",OTHER BUSINESS,COMM MNTL HLTH CNTR,,1114587813,,"7040 LAREDO ST, SUITE E",LAS VEGAS,NV,89117,1128a1,20240418,0,0, ,,,SURGERY CENTER MANAGEMENT LLC,OTHER BUSINESS,HC CONGLOM - PARENT,,0,,9001 WILSHIRE BOULEVARD,BEVERLY HILLS,CA,90211,1128a3,20240418,0,0, AARON-WOOD,SHARON,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1457922668,19640827,"1122 LORING AVENUE, APT 2",BROOKLYN,NY,11208,1128b4,20240418,0,0, ADRIAN,PAMELA,LYNN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19751204,4214 SWEETBAY COURT,SPRING HILL,FL,34607,1128b4,20240418,0,0, ADUMA,LEAH,BERRYL,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,0,0,19771208,6009 E RICHARDS DRIVE 8,SHAWNEE,KS,66216,1128b4,20240418,0,0, AGEE,RAVEN,NICOLE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19940712,"114 FALLS AVENUE, APT 24",GRANITE FALLS,NC,28630,1128a2,20240418,0,0, AGUAYO,ANTONIO,JR,,IND- LIC HC SERV PRO,TECHNICIAN,,0,19890301,"2894 MIRA MONTE DRIVE, APT D",SAN BERNARDINO,CA,92405,1128b4,20240418,0,0, ALARIO,FRANK,CHARLES,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1194740225,19570822,1220 HIGHWAY 70,WHITING,NJ,8759,1128b1,20240418,0,0, ALSHAMMARI,BROOKLY,CHEYENNE,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19970303,8720 PIPPIN ROAD,CINCINNATI,OH,45251,1128a1,20240418,0,0, ALVAREZ,ANNETTE,SAMBRANO,,INDIVIDUAL (UNAFFILI,RECIPT/BENEFICIARY,,0,19711128,1587 CATHAM CIRCLE,HORIZON CITY,TX,79928,1128a1,20240418,0,0, ANAKY,BROU,ANGEL,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,1467957050,19821205,"3320 WALTON AVENUE, UNIT 1",CLEVELAND,OH,44113,1128a1,20240418,0,0, ANUGWOM,DENNIS,DAMIAN,,BUS OWNER/EXEC,AMBULANCE COMPANY,,0,19640307,899 FM 632,KENEDY,TX,78119,1128a1,20240418,0,0, ANZALONE,EDDIE,DEAN,,IND- LIC HC SERV PRO,THERAPIST,,1841718178,19710424,P O BOX 2049,AIRWAY HEIGHTS,WA,99001,1128a2,20240418,0,0, ARANDA,MARGARET,,,"PHYSICIAN (MD, DO)",PAIN MANAGEMENT,,1316212608,19600623,"1536 S STATE STREET, #211",HEMET,CA,92543,1128b4,20240418,0,0, ARCIA,DIDIER,,,EMPLOYEE - PRIVATE S,DME - GENERAL,,0,19790504,P O BOX 1031,COLEMAN,FL,33521,1128a1,20240418,0,0, AVERETTE,DOMINIQUE,KYSHAN,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19941028,11905 BENNINGTON AVENUE,GRANDVIEW,MO,64030,1128a1,20240418,0,0, AVILA,JEFFREY,,,EMPLOYEE - PRIVATE S,DME - GENERAL,,0,19900918,"15030 SW 48TH TER, APT F",MIAMI,FL,33185,1128a1,20240418,0,0, BAGARDI,RAYA,,,IND- LIC HC SERV PRO,PHYSICAL THERAPY,,0,19850730,"121 TREMONT STREET, APT 318",BRIGHTON,MA,2135,1128a3,20240418,0,0, BAGLEY,CHRIS,,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,0,19800226,2409 SCR 51,MOUNT OLIVE,MS,39119,1128a2,20240418,0,0, BALBAS,EDWARD,ALBERT,,"PHYSICIAN (MD, DO)",GENERAL PRACTICE,,1629062435,19700814,4942 ROAN COURT,RANCHO CUCAMONGA,CA,91737,1128a3,20240418,0,0, BALLARDO,FERNANDO,ANGEL,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19810623,6520 FRY STREET,BELL GARDENS,CA,90201,1128b4,20240418,0,0, BANKS,KNIKIAH,ANTRON,,IND- LIC HC SERV PRO,COUNSELOR,,1801289038,19790910,"8003 MAURICE ROAD, APT C",NORTH LITTLE ROCK,AR,72117,1128a1,20240418,0,0, BARENBOYM,ANNA,,,IND- LIC HC SERV PRO,PHYSICAL THERAPY,,1528239100,19760623,9673 SW 12TH COURT,BOCA RATON,FL,33428,1128a3,20240418,0,0, BAXTER,KELSEY,ANN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19891015,1657 HOWARD AVENUE,WATERLOO,IA,50702,1128a4,20240418,0,0, BAYRYSHOVA,GYULNARA,,,IND- LIC HC SERV PRO,THERAPIST,,0,19650903,"GLEN RAY ROAD, BOX A",ALDERSON,WV,24910,1128a3,20240418,0,0, BEASLEY,RONALD,ANTHONY II,,IND- LIC HC SERV PRO,PHARMACIST,,1194362202,19891102,P O BOX 1000,PETERSBURG,VA,23804,1128a1,20240418,0,0, BERKLEY,CHRISTINA,L,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19771103,1206 SUNBURST RD,EVINGTON,VA,24550,1128a1,20240418,0,0, BERRY,NATHANIEL,JAMES,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19890426,"555 PIERCE STREET, APT 644",ALBANY,CA,94706,1128b4,20240418,0,0, BEST-ROBINSON,ZOE,,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,20010612,"28 E MOUNT VERNON ST, APT 204",SMYRNA,DE,19977,1128a2,20240418,0,0, BIDAWID,HELEN,SUSAN,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1114968856,19611219,1039 WHITE OAK AVENUE,MARYVILLE,TN,37803,1128a4,20240418,0,0, BISONG,ANGELA,NDIEP,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,0,19630823,P O BOX 2149,BRYAN,TX,77805,1128a1,20240418,0,0, BISONG,TATAW,CHARLZ,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,0,19630426,11022 ASHCOTT DRIVE,HOUSTON,TX,77072,1128a1,20240418,0,0, BOOKER,DONALD,,,BUS OWNER/EXEC,LAB - CLINICAL,,0,19651102,P O BOX 6001,ASHLAND,KY,41105,1128a1,20240418,0,0, BORGES,SERGIO,DA SILVA,,IND- LIC HC SERV PRO,THERAPIST,,0,19640730,6214 PEREGRINE CT,ORLANDO,FL,32819,1128b4,20240418,0,0, BRENS-BARRUOS,CELESTE,MARIA,,INDIVIDUAL (UNAFFILI,RECRUITER/CAPPER,,0,19620806,671 W 55TH PLACE,HIALEAH,FL,33012,1128a1,20240418,0,0, BRIERE,DONALD,LENARD,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19600318,211 ASHLEAF DRIVE,BUDA,TX,78610,1128b4,20240418,0,0, BROADNAX,LAKIA,DENISE,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19741124,"7020 WOODLAND AVENUE, FL 3",PHILADELPHIA,PA,19142,1128a1,20240418,0,0, BROWN,RUTH,THERESA,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19870717,14807 SW 29TH AVENUE ROAD,OCALA,FL,34478,1128b4,20240418,0,0, BURCH,LISA,,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19721201,2333 E 39TH STREET,CLEVELAND,OH,44115,1128a1,20240418,0,0, CARBONE-HOBBS,VIVIAN,,,"PHYSICIAN (MD, DO)",GENERAL PRACTICE,,1669596698,19620810,GLEN RAY RD BOX A,ALDERSON,WV,24910,1128a3,20240418,0,0, CARR,REBECCA,MARY,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19610420,357 BROOKLINE AVENUE,DAYTONA BEACH,FL,32118,1128b4,20240418,0,0, CARREE,COZIE,RIMONE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19790510,"760 CAROLIN STREET, APT 207",MELBOURNE,FL,32901,1128b4,20240418,0,0, CARTER,NATHAN,THOMAS,,IND- LIC HC SERV PRO,PHARMACIST,,1730566530,19820702,MAXWELL AIR FORCE BASE,MONTGOMERY,AL,36112,1128a4,20240418,0,0, CARVER,LOUIS,STANLEY,,BUS OWNER/EXEC,LAB - CLINICAL,,0,19910529,P O BOX 019120,MIAMI,FL,33101,1128a1,20240418,0,0, CATUNA,VALER,,,BUS OWNER/EXEC,ASSISTED LIVING FACI,,0,19680402,P O BOX 8909,YUMA,AZ,85349,1128a2,20240418,0,0, CHAVDA,DEEPAK,,,"PHYSICIAN (MD, DO)",ORTHOPEDICS,,1518926583,19580423,P O BOX 26020,BEAUMONT,TX,77720,1128a3,20240418,0,0, CHAVEZ,ALEXIS,SKYE,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,1073184313,20020116,2258 N 180 W STREET,LOGAN,UT,84341,1128a2,20240418,0,0, CHIDOKA,SAMUEL,,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,1467469981,19490823,3315 WESTWICK DRIVE,HOUSTON,TX,77082,1128a1,20240418,0,0, COLLINS-RANDLE,ROBIN,DENISE,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19900526,671 26TH STREET,OAKLAND,CA,94612,1128a1,20240418,0,0, COURTNEY,MARIAH,JNIQUE,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19990717,710 R AND R CIRCLE,NORTH LITTLE ROCK,AR,72117,1128a3,20240418,0,0, COVIN,LEON,,,IND- LIC HC SERV PRO,PHARMACY TECHNICIAN,,0,19720824,P O BOX 5010,OAKDALE,LA,71463,1128a4,20240418,0,0, CURTIS,TASHA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1144522772,19840912,"65 E WILLIAM ST, APT 12",DELAWARE,OH,43015,1128a1,20240418,0,0, DAGGS,ELIJAH,R,,IND- LIC HC SERV PRO,THERAPIST,,0,19950420,316 HUNT ROAD,BUSKIRK,NY,12028,1128b4,20240418,0,0, DELLAGHELFA,DENNIS,,,IND- LIC HC SERV PRO,AUDIOLOGY,,1952640195,19690226,P O BOX 2000,LEWISBURG,PA,17837,1128a1,20240418,0,0, DEMBO,ELIZABETH,RACHEL,,IND- LIC HC SERV PRO,PHARMACIST,,1689095861,19840117,1624 EAST SWAN CIRCLE,SAINT LOUIS,MO,63144,1128a4,20240418,0,0, DENNY,MARGARET,R,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19580913,5603 80TH ST N UNIT 504,SAINT PETERSBURG,FL,33709,1128b4,20240418,0,0, DERENNE,KRISTI,ANN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19820128,206 WILLOW STREET,LUXEMBURG,WI,54217,1128b4,20240418,0,0, DHILLON,SATWANT,SINGH,,"PHYSICIAN (MD, DO)",GYN/OBS,,1427075175,19601004,554 KEVIN LN,PORTERVILLE,CA,93257,1128a2,20240418,0,0, DIACONESCU,ELIZA,,,"PHYSICIAN (MD, DO)",PAIN MANAGEMENT,,1881655140,19481103,1050 N WAUKEGAN RD,LAKE FOREST,IL,60045,1128a1,20240418,0,0, DINKALAMBI,MARIECLAIRE,W,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19890223,"1950 ELDRIDGE PKWY, APT 7108",HOUSTON,TX,77077,1128b4,20240418,0,0, DODSON,ASHLIE,BROOKE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19790920,841 RS COUNTY ROAD 2350,EMORY,TX,75440,1128a4,20240418,0,0, DOUGHERTY,EARL,LEE,,INDIVIDUAL (UNAFFILI,NO KNOWN AFFILIATION,,0,19641112,47093 EFFIE STREET,KENAI,AK,99611,1128a1,20240418,0,0, DOUGHERTY,THOMAS,WILLIAM,,BUS OWNER/EXEC,DME - GENERAL,,0,19820922,P O BOX 019120,MIAMI,FL,33101,1128a1,20240418,0,0, DUNCAN,CHRISTOPHER,ARNO,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19720403,"12908 GOLDEN OAK DRIVE, STE 20",LAUREL,MD,20708,1128b4,20240418,0,0, DYER,MARK,ENLOW III,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1841350162,19680615,P O BOX 4000,MANCHESTER,KY,40962,1128a1,20240418,0,0, ECKMAN-DAX,KELLY,RENE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19670708,"530 N 3RD STREET, APT 11",BARDSTOWN,KY,40004,1128b4,20240418,0,0, EDWARDS ALEXANDER,WANDA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19700905,5715 WHITBY AVENUE,PHILADELPHIA,PA,19143,1128a1,20240418,0,0, EGANS,LALONNIE,,,IND- LIC HC SERV PRO,THERAPIST,,1053530915,19580423,P O BOX 5000,PEKIN,IL,61555,1128a1,20240418,0,0, EL NACHEF,MOHAMED,WADDAH,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1376573030,19530125,7955 WESTMINSTER BLVD,WESTMINSTER,CA,92683,1128a1,20240418,0,0, ELMANDOUH,MOHAMED,MAHMOUD,,IND- LIC HC SERV PRO,PHYSICAL THERAPY,,1073818100,19721118,155 BURKE AVENUE,STATEN ISLAND,NY,10314,1128a1,20240418,0,0, EMARA-JALLAQ,GEHAN,,,IND- LIC HC SERV PRO,DENTIST,,1295902484,19631114,5309 INFINITY CT,GROVE CITY,OH,43123,1128a1,20240418,0,0, EPSHTEIN,LUBA,RACHEL,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19880108,"903 S ZANO WAY, UNIT 107",AURORA,CO,80017,1128b4,20240418,0,0, EPSTEIN,STEVEN,DENNIS,,IND- LIC HC SERV PRO,PODIATRY,,1902899768,19541006,1711 PLAZA APARTMENTS,LEBANON,PA,17042,1128b4,20240418,0,0, FARLEY,BRADFORD,ALLEN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19850527,1163 MEADOW DR,GARDENDALE,AL,35071,1128b4,20240418,0,0, FARLEY,TRACY,LIANE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19731228,1861 STATE ROAD 20,HAWTHORNE,FL,32640,1128b4,20240418,0,0, FAWAZ,LEILA,,,IND- LIC HC SERV PRO,PHARMACIST,,1144690736,19630305,6201 HORGER ST,DEARBORN,MI,48126,1128a1,20240418,0,0, FAYNE,CHRISTINA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19691011,"11200 WE AVE, APT A",SAINT ANN,MO,63074,1128a2,20240418,0,0, FEARS,BRANDY,LADAWN,,IND- LIC HC SERV PRO,PHARMACY TECHNICIAN,,0,19750414,P O BOX 2149,BRYAN,TX,77805,1128a4,20240418,0,0, FISHER,ARDELLA,,,IND- LIC HC SERV PRO,NURSE PRACTITIONER (,,1891208831,19791023,P O BOX 2149,BRYAN,TX,77805,1128a4,20240418,0,0, FLEENOR,HEATHER,LYNN,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19770413,6900 COURTHOUSE RD,CHESTERFIELD,VA,23832,1128a1,20240418,0,0, FRID,LEON,BORIS,,IND- LIC HC SERV PRO,CHIROPRACTIC,,1639117559,19570616,12 HAYCAMP ROAD,SAINT PAUL,MN,55127,1128a1,20240418,0,0, GAIDE,YVONNE,,,EMPLOYEE - ST/LOC/TR,STATE GOV'T,,0,19611025,6115 BRAZIL AVENUE,ORANGEVALE,CA,95662,1128a3,20240418,0,0, GAMBOA,EDWARD,,,EMPLOYEE - PRIVATE S,COMM MNTL HLTH CNTR,,0,19981223,7580 JACARANDA BAY STREET,LAS VEGAS,NV,89139,1128a1,20240418,0,0, GARCIA,LUCIA,,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,19720614,P O BOX 772,COLUMBUS,NM,88029,1128a1,20240418,0,0, GARCIA,ROBERTO,A,,IND- LIC HC SERV PRO,PARAMEDIC TECHNICIAN,,0,19640708,23341 SW 197TH AVENUE,HOMESTEAD,FL,33031,1128b4,20240418,0,0, GARVEY,EVERTON,A,,EMPLOYEE - ST/LOC/TR,STATE GOV'T,,0,19741221,7061 ESTATE TUTU,ST THOMAS,VI,802,1128a1,20240418,0,0, GIL,ALEXEY,,,EMPLOYEE - PRIVATE S,DME - GENERAL,,0,19820123,P O BOX 5010,OAKDALE,LA,71463,1128a1,20240418,0,0, GLOVER,DAMON,SCOTT,,BUS OWNER/EXEC,MARKETING FIRM,,0,19661226,7031 LOS VIENTOS SERENOS,ESCONDIDO,CA,92029,1128a1,20240418,0,0, GONZALEZ ROCHE,OVIDIO,,,INDIVIDUAL (UNAFFILI,NO KNOWN AFFILIATION,,0,19700809,P O BOX 019120,MIAMI,FL,33101,1128a1,20240418,0,0, GRATTON,JOHN,MICHAEL,,IND- LIC HC SERV PRO,PARAMEDIC TECHNICIAN,,0,19801118,284 NW 94TH WAY,CORAL SPRINGS,FL,33071,1128b4,20240418,0,0, GRAZIER,HAYLEY,JEAN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19740117,8827 NORWICH STREET,WESTMINSTER,CO,80031,1128b4,20240418,0,0, GREAGER,JOHN,A II,,"PHYSICIAN (MD, DO)",SURGERY,,1427164722,19480206,436 N COUNTY LINE ROAD,HINSDALE,IL,60521,1128a1,20240418,0,0, GRIFFIN,KENRIC,,,BUS OWNER/EXEC,DME - ORTHOTICS,,0,19710420,P O BOX 26020,BEAUMONT,TX,77720,1128a1,20240418,0,0, GRINER,SHAWN,STUART,,EMPLOYEE - PRIVATE S,MARKETING FIRM,,0,19750929,P O BOX 1031,COLEMAN,FL,33521,1128a1,20240418,0,0, GUTIERREZ,ANNETTE,MARIE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19880601,1136 MEADOW STREET,LONGMONT,CO,80501,1128b4,20240418,0,0, HALL,JENNIFER,ANNE,,IND- LIC HC SERV PRO,THERAPIST,,0,19800627,1101 EAST HIGHWAY 54,VANDALIA,MO,63382,1128a2,20240418,0,0, HANKE,CASSANDRA,JOAN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19790416,2976 N GEMINI MEADOWS LANE,CEDAR CITY,UT,84721,1128b4,20240418,0,0, HEAPS,JAMES,MASON,,"PHYSICIAN (MD, DO)",GYN/OBS,,1912919200,19561027,450 BAUCHET STREET,LOS ANGELES,CA,90012,1128a2,20240418,0,0, HERNANDEZ,ELIZABETH,MERCEDES,,IND- LIC HC SERV PRO,NURSE PRACTITIONER (,,1790035921,19780530,P O BOX 019120,MIAMI,FL,33101,1128a1,20240418,0,0, HOLDER,ROSEMARIE,JOYCE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19540704,605 HULL ROAD,BREWSTER,WA,98812,1128a2,20240418,0,0, HOLMES,ELIZABETH,,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,19750320,"3309 DESOTA AVE, APT 2",CLEVELAND,OH,44118,1128a1,20240418,0,0, HORNE,DEANDRE,D,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,1881131993,19910105,P O BOX 9000,FORREST CITY,AR,72336,1128a1,20240418,0,0, HUFF,VICTORIA,M,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19700305,180 E FREEDOM LANE,MANITO,IL,61546,1128a4,20240418,0,0, IKEJIANI,AZUBUEZE,CHUKUNYELU,,IND- LIC HC SERV PRO,PHARMACIST,,0,19520407,2321 DUNHILL AVENUE,HOLLYWOOD,FL,33025,1128b4,20240418,0,0, IWEGBU,TINA,ROSEMARIE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1659901338,19571210,P O BOX 2149,BRYAN,TX,77805,1128a1,20240418,0,0, JABOUIN,EVIE,GABRIEL,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19790325,500 BROADWAY,MALDEN,MA,2148,1128b4,20240418,0,0, JIVANJI,NARESH,,,BUS OWNER/EXEC,MARKETING FIRM,,0,19640815,P O BOX 9000,SEAGOVILLE,TX,75159,1128a3,20240418,0,0, JOHNSON,SAMANTHA,RAE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19850824,"4380 MORNING SUN AVENUE, APT",COLORADO SPRINGS,CO,80918,1128b4,20240418,0,0, JOHNSON,TIMMOTHY,CARNELL,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19770106,410 SHAW STREET,PORTLAND,AR,71663,1128a1,20240418,0,0, JORDAN,AMBER,SUSAN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19560907,4067 FM 36 SOUTH,CADDO MILLS,TX,75135,1128a4,20240418,0,0, JORDAN,DELORES,,,INDIVIDUAL (UNAFFILI,RECRUITER/CAPPER,,1023628849,19680609,"GLEN RAY RD, BOX A",ALDERSON,WV,24910,1128a1,20240418,0,0, KAMARA,ABDUL,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19840314,1031 WILMINGTON PIKE,WEST CHESTER,PA,19382,1128b4,20240418,0,0, KELLY,KIMMY,JO,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19570920,"4495 ROOSEVELT BLVD, STE 304",JACKSONVILLE,FL,32210,1128b4,20240418,0,0, KEMP,DONATHAN,,,EMPLOYEE - PRIVATE S,MARKETING FIRM,,0,19680321,P O BOX 1600,BUTNER,NC,27509,1128a3,20240418,0,0, KHOON,FRANCIS,,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19831109,304 PAYTON ST,MONETT,MO,65708,1128a1,20240418,0,0, KING,WHITNEY,MARIE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19870304,1106 N 23RD STREET,FORT PIERCE,FL,34950,1128b4,20240418,0,0, KOCHUMIAN,MINAS,,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1235322538,19660710,9411 S CENTRAL AVENUE,LOS ANGELES,CA,90002,1128a2,20240418,0,0, KOINANGE,ROSE,ASHLEIGH,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19851103,"116 THOREAU WAY, APT 517",LAWRENCE,MA,1843,1128b4,20240418,0,0, KUYKENDALL,KEVIN,DOUGLAS,,BUS OWNER/EXEC,MARKETING FIRM,,0,19640324,4608 ALEXANDRA DRIVE,COLLEYVILLE,TX,76034,1128a1,20230802,0,0, KY,LENG,THAI,,"PHYSICIAN (MD, DO)",ANESTHESIOLOGY,,1164621066,19790825,P O BOX 901,AVENAL,CA,93204,1128a2,20240418,0,0, LACEY,ANTONIO,,,IND- LIC HC SERV PRO,COUNSELOR,,1093057382,19760218,2307 GRANADA TRL,LOCUST GROVE,GA,30248,1128a1,20240418,0,0, LAGACE,JOSHUA,JAY,,IND- LIC HC SERV PRO,THERAPIST,,0,19860322,522 7TH AVENUE,TROY,NY,12182,1128b4,20240418,0,0, LAMBROS,CHRISTOPHER,PETER,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19610611,6564 STATE HIGHWAY 96,OLNEY SPRINGS,CO,81062,1128a2,20240418,0,0, LANDRUM,MARILYN,JAZMIN LA SHUN,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,1144545252,19890722,"1713 164TH AVE, APT 6",SAN LEANDRO,CA,94578,1128a1,20240418,0,0, LEE,BRITTANY,JO,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19760916,15656 250TH AVENUE,SPIRIT LAKE,IA,51360,1128a4,20240418,0,0, LEROY,RENEE,CARMINA,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19830429,4353 SEVEN CANYONS DRIVE,KISSIMMEE,FL,34746,1128a3,20240418,0,0, LINDNER,BRITTANY,ANN,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,0,19861207,220 KANSAS ST,WINONA,MN,55987,1128a1,20240418,0,0, LINTON,JACQUELYIN,HALLMARK,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19710413,"42 ELKIE DR, LOT 120 D",WASHINGTON,PA,15301,1128b4,20240418,0,0, LIPSMAN,SAUL,,,IND- LIC HC SERV PRO,PODIATRY,,1063447522,19450930,91 SANDBOURNE LANE,PALM BEACH GARDENS,FL,33418,1128a2,20240418,0,0, LITTLE,JORDAN,LOUISE,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19991216,"324 GARDEN STREET, APT 104",SOUTH BURLINGTON,VT,5403,1128a1,20240418,0,0, LOMBARDO,MATTHEW,GEORGE,,EMPLOYEE - PRIVATE S,HOSPITAL,,0,19690427,P O BOX 700,YANKTON,SD,57078,1128a3,20240418,0,0, LONG,SHALNITA,Y,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,1174086680,19660323,"25200 ROCKSIDE ROAD, APT 310C",BEDFORD,OH,44146,1128a1,20240418,0,0, LOVE,LISA,MARIE,,IND- LIC HC SERV PRO,SOCIAL WORKER,,0,19660710,54 EASTGATE WAY,CRAWFORDVILLE,FL,32327,1128b4,20240418,0,0, MACUT,JOSEPH,DOUGLAS,,IND- LIC HC SERV PRO,PHYSICIAN ASSISTANT,,1326260159,19560818,1509 PINE HOLLOW ROAD,HARRISBURG,PA,17109,1128b4,20240418,0,0, MARTIN,SHANDA,E,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19920617,415 MILLBANK ROAD,UPPER DARBY,PA,19082,1128a1,20240418,0,0, MASON,PHILIP,,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19660915,"6211 CHESTERFIELD MEADOWS DR,",CHESTERFIELD,VA,23832,1128a1,20240418,0,0, MAY,ASHLEY,MARIE,,IND- LIC HC SERV PRO,THERAPIST,,0,19850805,284 SW LOREN COURT,LAKE CITY,FL,32024,1128a4,20240418,0,0, MAYKO,FLORENTINA,MARIANA,,BUS OWNER/EXEC,PHYSICIAN PRACTICE (,,0,19830621,"GLEN RAY ROAD, BOX A",ALDERSON,WV,24910,1128a1,20240418,0,0, MCCLURE,JOHN,MILES,,"PHYSICIAN (MD, DO)",CARDIOLOGY,,1427091123,19590703,2908 HARDIN ST,SAGINAW,MI,48602,1128b4,20240418,0,0, MCCLURE,JUDITH ANN,MOEHRING,,EMPLOYEE - PRIVATE S,ALLIED HEALTH RELATE,,0,19660425,2200 NW 118TH AVENUE,FORT LAUDERDALE,FL,33323,1128a1,20240418,0,0, MCCOLLUM,DANIEL,A.,,IND- LIC HC SERV PRO,CHIROPRACTIC,,1053398503,19680928,435 PROVIDENCE WAY,EASLEY,SC,29642,1128a1,20240418,0,0, MCGAHA,QING,LU,,"PHYSICIAN (MD, DO)",PAIN MANAGEMENT,,1184820292,19660310,P O BOX 7007,MARIANNA,FL,32447,1128a4,20240418,0,0, MCHIE,QUINITA,MARIE,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,19870417,"2807 N 3RD ST, APT 1",MINNEAPOLIS,MN,55411,1128a1,20240418,0,0, MERRIGAN,LISA,LOUISE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19671026,102 LINN ST,YANKTON,SD,57078,1128a4,20240418,0,0, MITCHELL,ANGELA,,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,0,19631214,1903 VILLAGE PARK DRIVE,MISSOURI CITY,TX,77489,1128a1,20240418,0,0, MIZRACHI,NAOMI,ENA,,IND- LIC HC SERV PRO,TECHNICIAN,,1598201121,19781013,4620 GAIL BOULEVARD,NAPLES,FL,34104,1128b4,20240418,0,0, MOHAN,MADAN,,,BUS OWNER/EXEC,CLINIC,,0,19700524,1522 RICHMOND AVENUE,CLOVIS,CA,93619,1128a1,20240418,0,0, MOHEB,ALIREZA,,,IND- LIC HC SERV PRO,DENTIST,,1013096502,19770321,290 MORAGA WAY,ORINDA,CA,94563,1128a4,20240418,0,0, MOONEY,KIMBERLY,LAFAYE,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,19820930,629 2ND AVENUE,PORTLAND,AR,71663,1128a1,20240418,0,0, MORA,YEZID,FERNANDO,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1366465122,19570811,P O BOX 26020,BEAUMONT,TX,77461,1128a1,20240418,0,0, MORGAN,ASHLEY,BLAIR,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19830615,95411 SPRINGHILL ROAD,FERNANDINA BEACH,FL,32034,1128b4,20240418,0,0, MORRIS,KIMBERLEE,M,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,0,19660216,36520 W SAN SISTO AVE,MARICOPA,AZ,85138,1128a1,20240418,0,0, MUEHLBAUER,TANYA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,0,0,19810816,4354 BIA ROAD 2 N,SAINT JOHN,ND,58369,1128b4,20240418,0,0, MULLINS,MATTHEW,ERIC,,IND- LIC HC SERV PRO,PARAMEDIC TECHNICIAN,,0,19940801,1606 TAYLOR LANDING DRIVE,BARTOW,FL,33830,1128b4,20240418,0,0, MUNOZ,CATALINA,,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,19870821,"2235 N MENARD AVE, APT 1",CHICAGO,IL,60639,1128a1,20240418,0,0, NDEREVA,OSCAR,SIMON,,BUS OWNER/EXEC,PHARMACY,,0,19780430,P O BOX 3949,PENSACOLA,FL,32516,1128a3,20240418,0,0, NEVITS,LISA,A,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,1245641471,19690105,6660 PARMA PARK BLVD,CLEVELAND,OH,44130,1128a1,20240418,0,0, NEWMAN,DARRELL,L,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19861219,1325 W ROOSEVELT BLVD,PHILADELPHIA,PA,19140,1128a1,20240418,0,0, NGANGA,JOHN PAUL,WAINAINA,,IND- LIC HC SERV PRO,COUNSELOR,,1710428636,19791017,876 MCCOLLISTER COURT,IOWA CITY,IA,52240,1128a1,20240418,0,0, NICKELS,MICHELE,,,IND- LIC HC SERV PRO,NATUROPATHY,,1891918090,19740618,2930 N 25TH STREET,MILWAUKEE,WI,53206,1128a4,20240418,0,0, O'GUINN,PAMELA,YVETTE,,INDIVIDUAL (UNAFFILI,NO KNOWN AFFILIATION,,1750920799,19640807,P O BOX 3600,GOODYEAR,AZ,85338,1128a3,20240418,0,0, OBASI,EZEKIEL,OKECHUWUKERE,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,0,19820301,"331 N NEW BALLAS RD, UNIT 4103",SAINT LOUIS,MO,63141,1128a1,20240418,0,0, OBRIEN,ZOILA,EDLMIRA,,EMPLOYEE - PRIVATE S,DME - GENERAL,,0,19700706,"3903 WEST 178TH STREET, APT 2",TORRANCE,CA,90504,1128a1,20240418,0,0, OGUNYEMI,TENIOLA,OLUWAKEMI,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19951027,14 LOWELL STREET,ISELIN,NJ,8830,1128b4,20240418,0,0, OHANNESSIAN,KHATCHIG,,,INDIVIDUAL (UNAFFILI,RECIPT/BENEFICIARY,,0,19481020,"3442 FOOTHILL BLVD, UNIT 153",LA CRESCENTA,CA,91214,1128a1,20240418,0,0, OJIEGBE,VITALIS,OHAKWE,,"PHYSICIAN (MD, DO)",INTERNAL MEDICINE,,1689684177,19541025,5500 WRIGHTS ENDEAVOR DR,BOWIE,MD,20720,1128a1,20240418,0,0, OMIDI,JULIAN,,,"PHYSICIAN (MD, DO)",DERMATOLOGY,,1962421164,19680725,"9001 WILSHIRE BOULEVARD, SUITE",BEVERLY HILLS,CA,90211,1128a3,20240418,0,0, OTUFALE,OTUKAYODE,ADELEKE,,EMPLOYEE - PRIVATE S,PHARMACY,,1063412989,19591004,BEAUMONT LOW FCI,BEAUMONT,TX,77720,1128a4,20240418,0,0, PARGA,AYMEE,,,IND- LIC HC SERV PRO,PHARMACY TECHNICIAN,,0,19671228,14773 SW 143RD TERRACE,MIAMI,FL,33196,1128a1,20240418,0,0, PATSCHECK,CHARLES,WARREN,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19661212,3143 ALYNDALE DR,EUGENE,OR,97404,1128a2,20240418,0,0, PATSCHECK,TAMMY,LYNN,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19670805,3143 ALYNDALE DR,EUGENE,OR,97404,1128a1,20240418,0,0, PERRY,JON,,,IND- LIC HC SERV PRO,PHYSICIAN ASSISTANT,,1740376102,19691029,1525 MORRIS ROAD,LOS LUNAS,NM,87031,1128a2,20240418,0,0, PETERSON,ANDREW,ROBERT,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1144546409,19730419,SMART COMMUNICATIONS/PADOC/SCI,SAINT PETERSBURG,FL,33733,1128b4,20240418,0,0, PHAM,DZUNG,ANH,,"PHYSICIAN (MD, DO)",FAMILY PRACTICE,,1790749653,19611010,P O BOX 3850,ADELANTO,CA,92301,1128a4,20240418,0,0, PHILLIPS,TIARANEE,,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,0,19930730,2920 SPOTTSWOOD AVE,MEMPHIS,TN,38111,1128a2,20240418,0,0, RANDOLPH,ANGELA,,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19711121,"6625 CERMAK ROAD, UNIT 133",BERWYN,IL,60402,1128a1,20240418,0,0, RAO,SEKHAR,,,"PHYSICIAN (MD, DO)",RADIOLOGY,,1346330099,19710209,P O BOX 1500,EL RENO,OK,73036,1128a3,20240418,0,0, RAY,ASHLEY,,,EMPLOYEE - PRIVATE S,SKILLED NURSING FAC,,0,19840204,2231 DUNCAN RD,HOLCOMB,MS,38940,1128a3,20240418,0,0, REYNOLDS,MICHAEL,HENRY II,,IND- LIC HC SERV PRO,COUNSELOR,,1881913150,19821118,32790 STATE HIGHWAY 99 S,STONEWALL,OK,74871,1128a1,20240418,0,0, RICE,CAITLIN,STAR,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19810828,2810 REED STREET,WHEAT RIDGE,CO,80033,1128b4,20240418,0,0, RICHARDSON,TIMOTHY,EDWARD,,EMPLOYEE - PRIVATE S,MARKETING FIRM,,0,19930203,P O BOX 019120,MIAMI,FL,33101,1128a1,20240418,0,0, RICKET,SAVANNA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19870813,506 BROOKOVER AVE,ZANESVILLE,OH,43701,1128a3,20240418,0,0, ROBERTSON,MYSHIA,SHAWNTREE,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19740529,"211 N RAWHIDE DRIVE, APT 134",OLATHE,KS,66061,1128a1,20240418,0,0, ROBINSON,CHANTEL,A,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19710904,6246 OAKLEY STREET,PHILADELPHIA,PA,19111,1128a1,20240418,0,0, ROCHELLE,MIKKI,NOEL,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19801225,3241 BIRDWELL DRIVE,TYLER,TX,75701,1128a4,20240418,0,0, RODRIGUEZ,ANDREA,LYNN,,EMPLOYEE-GOVERNMENT,ACF,,1699050450,19800611,413 EAST NEBRASKA AVENUE,NORFOLK,NE,68701,1128b1,20240418,0,0, RODRIGUEZ,LEONEL,ANDRES SR,,BUS OWNER/EXEC,PHARMACY,,0,19660426,10475 SW 42ND TERRACE,MIAMI,FL,33165,1128a1,20240418,0,0, RODRIGUEZ,STEVE,JACKSON,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19840325,P O BOX 24550,TUCSON,AZ,85734,1128a2,20240418,0,0, ROMAN,CHRISTIAN,JOSE,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19950121,58 FREEMAN TERRACE,SPRINGFIELD,MA,1104,1128a1,20240418,0,0, ROONEY,STACEY,ANN,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,1912694423,19900905,4080 EVANS DRIVE,BOULDER,CO,80303,1128b4,20240418,0,0, ROPER,JONATHAN,PATRICK,,EMPLOYEE - PRIVATE S,DRUG COMPANY/SUPLIER,,0,19780918,407 WILLOW WINDS PKWY,SAINT JOHNS,FL,32259,1128a3,20240418,0,0, ROSA,CARMEN,JULIA,,IND- LIC HC SERV PRO,PHARMACY TECHNICIAN,,0,19840703,"1200 N DAVIS AVENUE, LOT 95",LAKELAND,FL,33805,1128b4,20240418,0,0, ROSE,BRANDYE,LEIGH,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19780829,7419 APACHE TRAIL,SPRING HILL,FL,34606,1128b4,20240418,0,0, SANDOVAL-HERRERA,PRISCILLA,,,EMPLOYEE - ST/LOC/TR,STATE GOV'T,,0,19790401,2325 N 71ST AVENUE,PHOENIX,AZ,85035,1128a1,20240418,0,0, SCHLAMERSDORF,CARMELLA,M,,EMPLOYEE - PRIVATE S,SKILLED NURSING FAC,,0,19670911,6026 BUNNELL HILL RD,LEBANON,OH,45036,1128a2,20240418,0,0, SCHOONOVER,GARY,DEAN,,EMPLOYEE - PRIVATE S,MARKETING FIRM,,1306225446,19760309,3092 EVERGLADE AVENUE,CLOVIS,CA,93619,1128a1,20240418,0,0, SCOTT,NICKOLAS,JAY,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19841114,5964 US HIGHWAY 90,LIVE OAK,FL,32060,1128b4,20240418,0,0, SENG,DC-RYAN,BUNTHORN,,IND- LIC HC SERV PRO,PHYSICIAN ASSISTANT,,1518159003,19690101,10511 FELSON ST,BELLFLOWER,CA,90706,1128a1,20240418,0,0, SHORE,MICHAEL,ARNOLD,,BUS OWNER/EXEC,MARKETING FIRM,,0,19581023,P O BOX 9000,FORREST CITY,AR,72336,1128a1,20240418,0,0, SHORE,NICHOLAS,WADE,,EMPLOYEE - PRIVATE S,MARKETING FIRM,,0,20000114,247 CAMELOT WAY,BRANDON,MS,39047,1128a1,20240418,0,0, SIWA,FLORA,,,BUS OWNER/EXEC,HOME HEALTH AGENCY,,0,19610611,5209 DANCER WAY,LAS VEGAS,NV,89107,1128a2,20240418,0,0, SMITH,DANIELLE,NICOLE,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19771107,2745 NW INDEPENDENCE HWY,ALBANY,OR,97321,1128a1,20240418,0,0, SOCO,SHANNON,,,INDIVIDUAL (UNAFFILI,RECIPT/BENEFICIARY,,0,19821006,180 ARDELL HUBBARD DRIVE,NEW BOSTON,TX,75570,1128a1,20240418,0,0, SORG,BAMBI,,,EMPLOYEE - PRIVATE S,REHAB FACILITY - GEN,,0,19700101,15095 LAUREL HILL RD,GLENFORD,OH,43739,1128a3,20240418,0,0, SPARKLER,CARLA,B,,EMPLOYEE - PRIVATE S,INFUSION THERAPY CLI,,0,19700409,301 SUGAR BUSH COURT,MULLICA HILL,NJ,8062,1128b7,20240209,0,0, STEPHEN,BOLA,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19680328,P O BOX 27137,FORT WORTH,TX,76127,1128a1,20240418,0,0, STEPLIGHT,CLARENCE,,,EMPLOYEE - PRIVATE S,MENTAL/BEHAVIORAL HE,,1659885861,19780314,P O BOX 10,LISBON,OH,44432,1128a1,20240418,0,0, STREET,WENDELL,MARK SR,,"PHYSICIAN (MD, DO)",PAIN MANAGEMENT,,1437240314,19520126,3901 KLEIN BLVD,LOMPOC,CA,93436,1128a4,20240418,0,0, SUCCAR,JOSEPH,EDWARD,,IND- LIC HC SERV PRO,THERAPIST,,0,19640227,9870 SW 159TH STREET,MIAMI,FL,33157,1128b4,20240418,0,0, TAGUCHI,JULIE,,,"PHYSICIAN (MD, DO)",ONCOLOGY,,1073615118,19590404,211 E ANAPAMU STREET,SANTA BARBARA,CA,93101,1128a1,20240418,0,0, TANTICO,SUSANA,,,BUS OWNER/EXEC,NON-PROFIT ORGANIZAT,,0,19600811,5701 8TH ST - CAMP PARKS,DUBLIN,CA,94568,1128a3,20240418,0,0, TATE,SHAMIS,,,IND- LIC HC SERV PRO,NURSE PRACTITIONER (,,1447891676,19801009,9213 EAST WOOD DRIVE,SCOTTSDALE,AZ,85260,1128b4,20240418,0,0, THOMAS,DENEKA,LATRAVIA,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19811212,4108 MINOSO STREET,ORLANDO,FL,32811,1128b4,20240418,0,0, THORNTON,RYAN,WILLIAM,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19950710,47 LIDO ROAD,CLEAR LAKE,IA,50428,1128a4,20240418,0,0, THUKU,GLADYS,,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19960130,8305 MINDALE CIR APT F,WINDSOR MILL,MD,21244,1128b4,20240418,0,0, TRUJILLO,LATISHA,CELESTE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19871009,203 LA VISTA ROAD,PUEBLO,CO,81005,1128b4,20240418,0,0, TURANO,KEVIN,,,BUS OWNER/EXEC,INSURANCE COMPANY,,0,19681115,807 W MIDWAY STREET,MCKINNEY,TX,75069,1128a3,20240418,0,0, TURNER,ALTONIO,,,EMPLOYEE - PRIVATE S,PERSONAL CARE PROVID,,0,19861022,"826 HARDY DR, APT C",CHARLOTTESVILLE,VA,22903,1128a1,20240418,0,0, UZZELL,TEMMIE,,,BUS OWNER/EXEC,ADULT HOME,,0,19690513,P O BOX 8909,YUMA,AZ,85349,1128a1,20240418,0,0, VERDUGO,MERCEDES,G,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19811123,712 S 10TH ST,DEMING,NM,88030,1128a1,20240418,0,0, VICTORIA,SARA,MARIE,,BUS OWNER/EXEC,CHIROPRACTIC PRACT,,0,19760811,5701 8TH ST - CAMP PARKS,DUBLIN,CA,94568,1128a3,20240418,0,0, WARREN,KIMMY,SUE,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19590428,160 STRAWBERRY PATCH ROAD,MEEKER,CO,81641,1128b4,20240418,0,0, WATTS,JAVEN,RAMONE,,EMPLOYEE - PRIVATE S,HOME HEALTH AGENCY,,0,20000224,500 FISKE DR,DETROIT,MI,48214,1128a1,20240418,0,0, WEINER,ARTHUR,C,,IND- LIC HC SERV PRO,PHARMACIST,,1558385468,19540908,2004 LEXINGTON MEWS,SWEDESBORO,NJ,8085,1128a1,20240418,0,0, WHITE,JASON,ALTON,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19761020,200 S DECATUR STREET,DENVER,CO,80219,1128b4,20240418,0,0, WILBORN-SHELTON,WENDY,LASHEA,,EMPLOYEE - PRIVATE S,ADULT HOME,,0,19790411,110 TULIP STREET,WHITE OAK,TX,75693,1128a3,20240418,0,0, WILLCOCKSON,CHRISTOPHER,SHAUN,,INDIVIDUAL (UNAFFILI,RECIPT/BENEFICIARY,,0,19780714,"3445 S CAMELLIA, UNIT A",LOCKESBURG,AR,71846,1128a1,20240418,0,0, WILSON,REGINALD,EARL,,INDIVIDUAL (UNAFFILI,PERSONAL CARE PROVID,,0,19590914,"22846 CHESTERVIEW LOOP, APT 20",LAND O LAKES,FL,34639,1128a1,20240418,0,0, WOOTAN,HELEN,JULIA,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19690730,253 N 4TH STREET,FAIRFAX,OK,74637,1128a3,20240418,0,0, WRAY,AVA,ALEXANDRA,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19940428,"310 N MASON STREET, APT 318",FORT COLLINS,CO,80524,1128b4,20240418,0,0, YAZICHYAN,SERGEY,,,BUS OWNER/EXEC,HOSPICE,,0,19760223,16104 HART ST,VAN NUYS,CA,91406,1128a2,20240418,0,0, ZECHEL,VALERIA,KAY,,IND- LIC HC SERV PRO,NURSE/NURSES AIDE,,0,19631117,"6945 LA COSA DRIVE, APT 1046",DALLAS,TX,75248,1128a1,20240418,0,0,