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BLAKE A ATTAWAY — OIG Excluded Provider (LA VERNE, CA, 1128b4)

BLAKE A ATTAWAY — OIG Excluded Provider (LA VERNE, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BLAKE A ATTAWAY; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameBLAKE A ATTAWAY
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyEMERGENCY MED TECH
CityLA VERNE
StateCA
ZIP91750
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2014-06-19
SourceHHS-OIG LEIE

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