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CARRIE S SHELBURNE ALLEN — OIG Excluded Provider (COXS CREEK, KY, 1128b4)

CARRIE S SHELBURNE ALLEN — OIG Excluded Provider (COXS CREEK, KY, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CARRIE S SHELBURNE ALLEN; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameCARRIE S SHELBURNE ALLEN
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityCOXS CREEK
StateKY
ZIP40013
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2015-09-20
SourceHHS-OIG LEIE

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