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BLAINE BALLARD — OIG Excluded Provider (SULLIVAN, IN, 1128a2)

BLAINE BALLARD — OIG Excluded Provider (SULLIVAN, IN, 1128a2) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BLAINE BALLARD; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameBLAINE BALLARD
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CitySULLIVAN
StateIN
ZIP47882
Exclusion authority1128a2
Exclusion reasonConviction relating to patient abuse or neglect
Exclusion date2015-07-20
SourceHHS-OIG LEIE

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