LASTNAME,FIRSTNAME,MIDNAME,BUSNAME,GENERAL,SPECIALTY,UPIN,NPI,DOB,ADDRESS,CITY,STATE,ZIP,EXCLTYPE,EXCLDATE,REINDATE,WAIVERDATE,WVRSTATE
"","","","FREEDOM MEDICAL LABS, LLC","OTHER BUSINESS","LABORATORY","","0000000000","","1713 NORDIC HILL CIRCLE","SILVER SPRING","MD","20906","1128b7","20250411","00000000","00000000",""
"","","","HEALTH PLUS, LLC","OTHER BUSINESS","PHYS THERAPY PROVIDE","","1366970204","","16000 W 9 MILE ROAD, STE 603B","SOUTHFIELD","MI","48075","1128b11","20250324","00000000","00000000",""
"ABELLANA","EDUARDO","","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1215929906","19490309","22319 CRESTWOOD ST","WOODHAVEN","MI","48183","1128a1","20250520","00000000","00000000",""
"AGUERO","LOUISA","IDA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830701","247 SOUTH MAPLE AVENUE","FRESNO","CA","93702","1128b4","20250520","00000000","00000000",""
"ALBERT","BENJAMIN","KEITH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1811294002","19720513","1441 S EAGON LANE","ROUND LAKE","IL","60073","1128b4","20250520","00000000","00000000",""
"ALCALA","JONI","M","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870715","3435 FIEBRANTZ DRIVE","BROOKFIELD","WI","53005","1128b4","20250520","00000000","00000000",""
"ALEXANDER","ELIJAH","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19980601","223 E PARK ST","TOLEDO","OH","43608","1128a1","20250520","00000000","00000000",""
"ALEXANDER","FELICIA","S","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19751210","820 E LOCUST AVE, FL 1","PHILADELPHIA","PA","19138","1128a1","20250520","00000000","00000000",""
"ALLEN","JENNIFER","NICOLE","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19730629","1015 S D ST","MARION","IN","46953","1128a2","20250520","00000000","00000000",""
"ANDERSON","JOEL","GREGORY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19830225","9595 WEST QUINCY AVE","LITTLETON","CO","80123","1128b4","20250520","00000000","00000000",""
"ANDERSON","MARK","G","","IND- LIC HC SERV PRO","PHARMACIST","","1629334073","19530705","4434 ROLLA LANE","MADISON","WI","53711","1128b4","20250520","00000000","00000000",""
"ANDERSON","THOMAS","GENE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19910712","436 N 11TH ST","FOREST CITY","IA","50436","1128a4","20250520","00000000","00000000",""
"ANICETO","QUINCY","VANEMYARISTA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19940911","9348 STONEYBROCK PLACE","RANCHO CUCAMONGA","CA","91730","1128b4","20250520","00000000","00000000",""
"ARMENTA","VERONICA","OFELIA","","EMPLOYEE - ST/LOC/TR","STATE GOV'T","","0000000000","19911226","3007 N 71ST LANE","PHOENIX","AZ","85033","1128b1","20250520","00000000","00000000",""
"AROCHA","GREGORY","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19941017","422 MATTHEWS AVE","SAN ANTONIO","TX","78237","1128b4","20250520","00000000","00000000",""
"ARONSON-FOX","RISA","FAITH","","PHYSICIAN (MD, DO)","INTERNAL MEDICINE","","1255426136","19640321","P O BOX 65","BREWSTER","NY","10509","1128a1","20250520","00000000","00000000",""
"ASHBY","CYNTHIA","JANE","","IND- LIC HC SERV PRO","NURSE PRACTITIONER (","","1639157472","19580125","13123 E 16TH AVENUE","AURORA","CO","80045","1128b4","20250520","00000000","00000000",""
"ATCHESON","ALISSA","CLAIRE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19851120","3010 KOSSUTH STREET","BUTTE","MT","59701","1128b4","20250520","00000000","00000000",""
"BAILEY","LAURELEI","ANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19640824","2070 NW QUIMBY STREET, APT 616","PORTLAND","OR","97209","1128b4","20250520","00000000","00000000",""
"BANGURA","MUSA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19581103","P O BOX 350","BEAVER","WV","25813","1128a3","20250520","00000000","00000000",""
"BARROGA","DENO","BALTAZAR","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1033188776","19721004","3901 KLEIN BOULEVARD","LOMPOC","CA","93436","1128a3","20250520","00000000","00000000",""
"BARROGA","DESI","ELPIDIO","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1023210473","19721004","MAXWELL AIR FORCE BASE","MONTGOMERY","AL","36112","1128a3","20250520","00000000","00000000",""
"BASKERVILLE","DEBORAH","R","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850526","130 GIULIA LANE","GALLOWAY","NJ","08205","1128b4","20250520","00000000","00000000",""
"BATAEFF","KONSTANCETINA","LEEANNA","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19820620","1415 MILBANKE DR SE","OLYMPIA","WA","98513","1128a1","20250520","00000000","00000000",""
"BEAUPLAN","JEAN","MARC","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19680104","1608 AFTON ST","PHILADELPHIA","PA","19111","1128b4","20250520","00000000","00000000",""
"BELLO","CHRISTIANAH","OMOLARA","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1720568124","19570808","11726 WREN CROSSING DR","HOUSTON","TX","77038","1128b4","20250520","00000000","00000000",""
"BERRIOS-ANTUNA","EMILIO","","","PHYSICIAN (MD, DO)","GENERAL PRACTICE","","1831212125","19580408","P O BOX 1027","COLEMAN","FL","33521","1128a1","20250520","00000000","00000000",""
"BERRO PALOMINO","ARMANDO","REMIGIO","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19681001","11782 SW 253RD ST","HOMESTEAD","FL","33032","1128b4","20250520","00000000","00000000",""
"BERTSCH","PAULA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19771116","600 HAWK DRIVE","VACAVILLE","CA","95687","1128b4","20250520","00000000","00000000",""
"BIRD","LUIS","JESUS","","PHYSICIAN (MD, DO)","PSYCHIATRY","","1538222658","19501214","110 S FRONT ST, UNIT 900","PHILADELPHIA","PA","19106","1128b4","20250520","00000000","00000000",""
"BIRLEW","NICHOLAS","RAYMOND","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1821188483","19491217","1445 FOOTHILLS VILLAGE DRIVE","HENDERSON","NV","89012","1128b4","20250520","00000000","00000000",""
"BLAIR","TREVOR","THOMAS","","BUS OWNER/EXEC","MARKETING FIRM","","0000000000","19940117","18720 CAPE SABLE DR","BOCA RATON","FL","33498","1128a1","20250520","00000000","00000000",""
"BLAKE","KATELYNN","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","1205618527","19920314","3933 PATTISON ST","CINCINNATI","OH","45204","1128a1","20250520","00000000","00000000",""
"BLATTI","GEORGE","MILTON","","PHYSICIAN (MD, DO)","FAMILY PRACTICE","","1154489284","19450723","6514 ROUTE 26, P O BOX 8451","ROME","NY","13442","1128a2","20250520","00000000","00000000",""
"BOARD","EDWARD","EON","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19761128","1053 HONEYSUCKLE COURT, APT 3","JEFFERSONVILLE","IN","47130","1128a3","20250520","00000000","00000000",""
"BOLSEM-MEEHAN","KAROL","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19640417","2495 DETROIT AVENUE, APT 7","KINGMAN","AZ","86401","1128b4","20250520","00000000","00000000",""
"BONILLA","CANDICE","B","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1457828964","19820601","49 CULVER ROAD","BUFFALO","NY","14220","1128b4","20250520","00000000","00000000",""
"BONILLA","DOREEN","SUE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1427754803","19500825","9809 124TH AVE SE","RENTON","WA","98056","1128a2","20250520","00000000","00000000",""
"BOSEMAN","NADIA","R","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1093229601","19940319","906 GRAY STREET","NEW CASTLE","DE","19720","1128b4","20250520","00000000","00000000",""
"BRISH","ELDOR","","","PHYSICIAN (MD, DO)","PAIN MANAGEMENT","","1265692214","19790225","P O BOX 26020","BEAUMONT","TX","77720","1128a4","20250520","00000000","00000000",""
"BROWN","DEBRA","","","INDIVIDUAL (UNAFFILI","RECIPT/BENEFICIARY","","0000000000","19581218","P O BOX 33","STERLINGTON","LA","71280","1128a1","20250520","00000000","00000000",""
"BRUMBACK","KAYSE","RUTH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19901125","218 TEXAS AVE","WHITESBURG","KY","41858","1128b4","20250520","00000000","00000000",""
"BRUWER","LISA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1598119018","19801121","155 N LAKEVIEW BLVD, UNIT 225","CHANDLER","AZ","85225","1128b4","20250520","00000000","00000000",""
"BYUS","DARLA","KAY","","IND- LIC HC SERV PRO","COUNSELOR","","1497073050","19690913","P O BOX 3725","ADELANTO","CA","92301","1128a1","20250520","00000000","00000000",""
"CABANES RODRIGUEZ","CRISTIAN","","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19931207","8217 ABBOTT AVENUE, APT  4","MIAMI BEACH","FL","33141","1128a2","20250520","00000000","00000000",""
"CABRERA HERNANDEZ","OMAR","","","BUS OWNER/EXEC","COMM MNTL HLTH CNTR","","0000000000","19681219","P O BOX 5010","OAKDALE","LA","71463","1128a1","20250520","00000000","00000000",""
"CAILLOUETTE","CANDICE","HOLLY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1588053730","19821214","117 N CLEVELAND STREET, APT 61","OCEANSIDE","CA","92054","1128b4","20250520","00000000","00000000",""
"CAMP","CARLA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19601127","5301 E MCKINNEY ST TRL 83","DENTON","TX","76208","1128b4","20250520","00000000","00000000",""
"CAMPBELL","KEVIN","MICHAEL","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19720613","1236 TAKENA STREET SW","ALBANY","OR","97321","1128b4","20250520","00000000","00000000",""
"CAWOOD","KATHY","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19730519","721 ALLF LN","LONDON","KY","40741","1128b4","20250520","00000000","00000000",""
"CERVANTES","TOMAS","III","","IND- LIC HC SERV PRO","TECHNICIAN","","0000000000","19851211","18286 ROAD 320","SPRINGVILLE","CA","93265","1128b4","20250520","00000000","00000000",""
"CHAMBERS","AMANDA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1295538197","20040112","13460 WOODIN RD","CHARDON","OH","44024","1128a2","20250520","00000000","00000000",""
"CHILDERS","TAYLOR","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19931021","2224 GARLAND AVENUE","LOUISVILLE","KY","40211","1128b4","20250520","00000000","00000000",""
"CHMIEL","ANDREW","","","BUS OWNER/EXEC","DME - GENERAL","","0000000000","19700620","P O BOX 350","BEAVER","WV","25813","1128a1","20250520","00000000","00000000",""
"CHONEY","KRISTY","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19760330","1840 LONGMIRE RD, APT 13102","CONROE","TX","77304","1128b4","20250520","00000000","00000000",""
"CHU","HELEN","","","IND- LIC HC SERV PRO","PHARMACIST","","0000000000","19850201","35 HIGH STREET","RANDOLPH","MA","02368","1128b4","20250520","00000000","00000000",""
"CHURCHILL","STEVEN","","","BUS OWNER/EXEC","DME - TELEMARKETING","","0000000000","19860809","21379 ROCKLEDGE LANE","BOCA RATON","FL","33428","1128a1","20250520","00000000","00000000",""
"CIANCIOLO","AMANDA","MARIE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1649630039","19870502","1364 QUAIL HOLLOW DRIVE","SIERRA VISTA","AZ","85635","1128b4","20250520","00000000","00000000",""
"CLARK-SHEPPARD","TWOANA","NINA","","IND- LIC HC SERV PRO","COUNSELOR","","1932442043","19701030","11311 SYCAMORE TERRACE","KANSAS CITY","MO","64134","1128a1","20250520","00000000","00000000",""
"CLEMENT","BREANNA","","","EMPLOYEE - PRIVATE S","HOME HEALTH AGENCY","","0000000000","19991116","604 FOX ST","BASTROP","LA","71220","1128a1","20250520","00000000","00000000",""
"CLYMER","HEATHER","ALLYN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19721230","119 AUTUMN RIDGE DR","MAYFIELD","KY","42066","1128b4","20250520","00000000","00000000",""
"COLE","NOAH","TAYLOR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19961002","141 INVERNESS DR","GEORGETOWN","KY","40324","1128b4","20250520","00000000","00000000",""
"CONNERS","ZACHERY","EDWARD","","EMPLOYEE - PRIVATE S","ADULT DAY CARE FACIL","","0000000000","19980627","17 MALLISON FALLS ROAD","WINDHAM","ME","04062","1128a2","20250520","00000000","00000000",""
"COSME","CAMILLE","DESERAY","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1356775563","19860915","208 LAKE DRIVE","NEWBURGH","NY","12550","1128b4","20250520","00000000","00000000",""
"D'ANTONI","SUSAN","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19700316","3919 MASSIE AVENUE","LOUISVILLE","KY","40207","1128b4","20250520","00000000","00000000",""
"DAIL","RENEE","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740311","532 CAPE COD LANE, APT 304","ALTAMONTE SPRINGS","FL","32714","1128b4","20250520","00000000","00000000",""
"DANIELS","PHYLLIS","JACOLBY","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19870820","195 CARO KEE LANE","BARNWELL","SC","29812","1128a3","20250520","00000000","00000000",""
"DANISON","ALICIA","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19941121","138 MARTIN AVE","COLUMBUS","OH","43222","1128a2","20250520","00000000","00000000",""
"DARSEY","REBECCA","LYNNE","","PHYSICIAN (MD, DO)","SURGERY","","1447240916","19681212","1843 WHITE SANDS LANE, APT P","DAVIS","CA","95616","1128b4","20250520","00000000","00000000",""
"DASILVA","TINA","LOUISE","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19630930","27 LAFAYETTE STREET, APT 1","LOWELL","MA","01854","1128b4","20250520","00000000","00000000",""
"DAVIS","BRIANNA","SHANTRICE","","EMPLOYEE - PRIVATE S","ADULT HOME","","0000000000","19951001","310 SUMMER BREEZE WAY, APT 211","SAINT AUGUSTINE","FL","32086","1128a2","20250520","00000000","00000000",""
"DAVIS","SCHARA","MONIQUE","","BUS OWNER/EXEC","CLINIC","","0000000000","19760319","3652 CHANDLER ESTATES DR","APOPKA","FL","32712","1128a1","20250520","00000000","00000000",""
"DELGADO","JOSE","RAMON JR","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19660924","27220 SW 136TH PATH","HOMESTEAD","FL","33032","1128b4","20250520","00000000","00000000",""
"DEMARZO","SHAN'ANN","CATHRYN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740312","28729 N NOBEL RD","PHOENIX","AZ","85085","1128b4","20250520","00000000","00000000",""
"DICK","GLINDA","ANNE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19740131","13117 N HIGHWAY 1247","EUBANK","KY","42567","1128b4","20250520","00000000","00000000",""
"DIKE","ESTHER","NGOZI","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19690721","4007 CLAYTON BEND CT","HOUSTON","TX","77082","1128b4","20250520","00000000","00000000",""
"DOCKERY","ADAM","DOUGLAS","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19800425","289 MAPLE ST","RUSSELL SPRINGS","KY","42642","1128b4","20250520","00000000","00000000",""
"DUVALL","SANDRA","DENISE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19650706","4606 CANEYVILLE ROAD","CANEYVILLE","KY","42721","1128b4","20250520","00000000","00000000",""
"DYNE","GODFREY","D","","PHYSICIAN (MD, DO)","SURGERY","","1336248830","19550628","975 GARCIA RD","SANTA BARBARA","CA","93103","1128b4","20250520","00000000","00000000",""
"EDWIN","PAMELA","A","","BUS OWNER/EXEC","DME - ORTHOTICS","","1174098867","19790702","500 RIDGEWOOD LANE","FORT LAUDERDALE","FL","33317","1128a1","20250520","00000000","00000000",""
"EID","HANNA","","","IND- LIC HC SERV PRO","PHARMACIST","","1154490365","19660505","P O BOX 759","MINERSVILLE","PA","17954","1128a1","20250520","00000000","00000000",""
"FAKHURI","TAREK","","","IND- LIC HC SERV PRO","PHARMACIST","","1629159744","19721029","94 TELFAIR DR","BUFFALO","NY","14221","1128a1","20250520","00000000","00000000",""
"FARLEY","JOHANN","DAVID","","PHYSICIAN (MD, DO)","PSYCHIATRY","","1043275761","19631222","P O BOX 33","TERRE HAUTE","IN","47808","1128a1","20250520","00000000","00000000",""
"FARSEE","CHARLENE","C","","EMPLOYEE - PRIVATE S","ASSISTED LIVING FACI","","0000000000","19920109","2739 N 27TH ST","MILWAUKEE","WI","53210","1128a1","20250520","00000000","00000000",""
"FINLEY","WHITNEY","DEANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19870723","1596 WEST 3395 SOUTH, APT D3","WEST VALLEY CITY","UT","84119","1128b4","20250520","00000000","00000000",""
"FORTENBERRY","GABRIEL","","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19970624","2508 E JOHNSON AVE","JONESBORO","AR","72405","1128a2","20250520","00000000","00000000",""
"FRAWLEY","CAROL","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19530324","41 PRIMROSE LANE, UNIT 41","NORTH BABYLON","NY","11703","1128a2","20250520","00000000","00000000",""
"FULLER","SERENA","JUDITH","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19990319","1203 ACKER AVENUE","SCRANTON","PA","18504","1128b4","20250520","00000000","00000000",""
"GAYLES","JARED","MARCEL","","IND- LIC HC SERV PRO","THERAPIST","","0000000000","19990312","3296 S NORTH SHORE DRIVE","ONTARIO","CA","91761","1128b4","20250520","00000000","00000000",""
"GHERE","JAMES","ALAN","","IND- LIC HC SERV PRO","SOCIAL WORKER","","1306216791","19640112","3123 ZENKNER VALLEY RD SW","CENTRALIA","WA","98531","1128a4","20250520","00000000","00000000",""
"GHOURI","AQEEL","AHMED","","IND- LIC HC SERV PRO","PHARMACIST","","1578790929","19581220","16 BALDWIN LANE","SCARSDALE","NY","10583","1128a1","20250520","00000000","00000000",""
"GLASSMAN","CLIFFORD","","","INDIVIDUAL (UNAFFILI","RECRUITER/CAPPER","","0000000000","19581227","621 E CYPRESS AVE","GLENDORA","CA","91741","1128a3","20250520","00000000","00000000",""
"GORDON","MICHAEL","ALTON","","EMPLOYEE - PRIVATE S","PHARMACY","","0000000000","19630814","16110 MYRIAD LANE, APT 103","FORT MYERS","FL","33908","1128a3","20250520","00000000","00000000",""
"GRANT","TERRY","LEE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19610130","1401 WINDSOR DR","ARDMORE","OK","73401","1128b4","20250520","00000000","00000000",""
"GREENING","MICHELLE","KRISTEEN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","1982498176","19781115","16163 ORCHARD STREET","FONTANA","CA","92336","1128b4","20250520","00000000","00000000",""
"GRIFFIN","ALMANDO","","","EMPLOYEE - PRIVATE S","PERSONAL CARE PROVID","","0000000000","19700719","1227 LENWAY STREET","DALLAS","TX","75215","1128a1","20250520","00000000","00000000",""
"GRIFFIN","KACY","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19811112","1211 SW SKYLINE LOOP","FORT WHITE","FL","32038","1128b4","20250520","00000000","00000000",""
"GRIPPI","THERESA","QUINTERO","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19541118","74618 MOSS ROSE DRIVE","PALM DESERT","CA","92260","1128b4","20250520","00000000","00000000",""
"GUCKER","REBECCA","ANNETTE","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19920316","2038 RIDGEWAY AVENUE","COLORADO SPRINGS","CO","80906","1128b4","20250520","00000000","00000000",""
"GUERRERO","MONICA","ANN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19720622","1750 S PRICE ROAD APT, 130","TEMPE","AZ","85282","1128b4","20250520","00000000","00000000",""
"GUILLAUME","ANDY","","","IND- LIC HC SERV PRO","PHARMACY TECHNICIAN","","0000000000","19990825","18986 CLOUD LAKE CIRCLE","BOCA RATON","FL","33496","1128b4","20250520","00000000","00000000",""
"GUTICH","EVGENIA","I","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19861022","303 W COVENTRY CT, APT 103","MILWAUKEE","WI","53217","1128a2","20250520","00000000","00000000",""
"GUTIERREZ","MANUEL","ALEJANDRO","","IND- LIC HC SERV PRO","DENTIST","","1417088402","19751101","1604 HAVEN BEND","TAMPA","FL","33613","1128b4","20250520","00000000","00000000",""
"HAGGERTY","DENNIS","W JR","","EMPLOYEE - PRIVATE S","LABORATORY","","0000000000","19760725","P O BOX 33","TERRE HAUTE","IN","47808","1128a3","20250520","00000000","00000000",""
"HALLAM","JESSICA","LYNN","","IND- LIC HC SERV PRO","NURSE/NURSES AIDE","","0000000000","19850122","6688 WESTLAKE ROAD","NEWBURGH","IN","47630","1128b3","20250520","00000000","00000000",""
"HALTON","PATRICK","JOSEPH","","INDIVIDUAL (UNAFFILI","PERSONAL CARE PROVID","","0000000000","19530627","767 BROAD ST","CHAMBERSBURG","PA","17201","1128a1","20250520","00000000","00000000",""
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