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GLADYS AVILES — OIG Excluded Provider (FAJARDO, PR, 1128a1)

GLADYS AVILES — OIG Excluded Provider (FAJARDO, PR, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: GLADYS AVILES; Type: Individual; Provider category: DME COMPANY.

NameGLADYS AVILES
TypeIndividual
Provider categoryDME COMPANY
SpecialtyEMPLOYEE
CityFAJARDO
StatePR
ZIP00738
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date2009-10-20
SourceHHS-OIG LEIE

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