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CAROLYN E BENNETT — OIG Excluded Provider (COTTLEVILLE, MO, 1128b4)

CAROLYN E BENNETT — OIG Excluded Provider (COTTLEVILLE, MO, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CAROLYN E BENNETT; Type: Individual; Provider category: NURSING PROFESSION.

NameCAROLYN E BENNETT
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityCOTTLEVILLE
StateMO
ZIP63338
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date1992-06-29
SourceHHS-OIG LEIE

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