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| Issue Date FY: 2019 ( Subtotal = $529,000 ) |
| 2019 | 2019 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 1 | 1 | 1/1/2019 | NEW | $118,000 |
| 2019 | 2019 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 3 | 1 | 7/1/2019 | NEW | $153,000 |
| 2019 | 2019 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 0 | 1 | 10/1/2018 | NEW | $118,000 |
| 2019 | 2019 | Amer. Samoa Medicaid Agency | 998383 Tafuna Road #306 | PAGO PAGO | AS | 96799 | AMERICAN SAMOA | USA | Medical Assistance Program | 2 | 1 | 4/1/2019 | NEW | $140,000 |
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