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AMANDA R ALSUP — OIG Excluded Provider (BOSWELL, IN, 1128b4)

AMANDA R ALSUP — OIG Excluded Provider (BOSWELL, IN, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: AMANDA R ALSUP; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameAMANDA R ALSUP
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityBOSWELL
StateIN
ZIP47921
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2012-07-19
SourceHHS-OIG LEIE

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