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GRACIELA ALONZO — OIG Excluded Provider (CAMERON, TX, 1128b4)

GRACIELA ALONZO — OIG Excluded Provider (CAMERON, TX, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: GRACIELA ALONZO; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameGRACIELA ALONZO
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityCAMERON
StateTX
ZIP76520
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2018-07-19
SourceHHS-OIG LEIE

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