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BOLADEMI ADETOLA — OIG Excluded Provider (ADELANTO, CA, 1128a1)

BOLADEMI ADETOLA — OIG Excluded Provider (ADELANTO, CA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BOLADEMI ADETOLA; Type: Individual; Provider category: BUS OWNER/EXEC.

NameBOLADEMI ADETOLA
TypeIndividual
Provider categoryBUS OWNER/EXEC
SpecialtyDME - GENERAL
NPI1598938995
CityADELANTO
StateCA
ZIP92301
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date2014-04-20
SourceHHS-OIG LEIE

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