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DELORIS M BENNETT — OIG Excluded Provider (NEW WAVERLY, TX, 1128b4)

DELORIS M BENNETT — OIG Excluded Provider (NEW WAVERLY, TX, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DELORIS M BENNETT; Type: Individual; Provider category: HOSPITAL.

NameDELORIS M BENNETT
TypeIndividual
Provider categoryHOSPITAL
SpecialtyNURSE/NURSES AIDE
CityNEW WAVERLY
StateTX
ZIP77358
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2001-06-20
SourceHHS-OIG LEIE

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