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DEWAYNE BASON — OIG Excluded Provider (DETROIT, MI, 1128a4)

DEWAYNE BASON — OIG Excluded Provider (DETROIT, MI, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DEWAYNE BASON; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameDEWAYNE BASON
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyPHARMACY TECHNICIAN
CityDETROIT
StateMI
ZIP48219
Exclusion authority1128a4
Exclusion reasonFelony conviction relating to controlled substances
Exclusion date2022-09-20
SourceHHS-OIG LEIE

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