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JACK PRESTON BEARDSLEY — OIG Excluded Provider (DELRAY BEACH, FL, 1128b4)

JACK PRESTON BEARDSLEY — OIG Excluded Provider (DELRAY BEACH, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JACK PRESTON BEARDSLEY; Type: Individual; Provider category: CHIROPRACTIC PRACT.

NameJACK PRESTON BEARDSLEY
TypeIndividual
Provider categoryCHIROPRACTIC PRACT
SpecialtyCHIROPRACTIC
CityDELRAY BEACH
StateFL
ZIP33445
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2006-07-20
SourceHHS-OIG LEIE

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