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HOLLIE L AXTEN — OIG Excluded Provider (BETHANY, CT, 1128b4)

HOLLIE L AXTEN — OIG Excluded Provider (BETHANY, CT, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: HOLLIE L AXTEN; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameHOLLIE L AXTEN
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityBETHANY
StateCT
ZIP06524
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2014-01-20
SourceHHS-OIG LEIE

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