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JACLYN BENNETT — OIG Excluded Provider (DENVER, CO, 1128b4)

JACLYN BENNETT — OIG Excluded Provider (DENVER, CO, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JACLYN BENNETT; Type: Individual; Provider category: HOME HEALTH AGENCY.

NameJACLYN BENNETT
TypeIndividual
Provider categoryHOME HEALTH AGENCY
SpecialtyNURSE/NURSES AIDE
CityDENVER
StateCO
ZIP80221
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2002-10-20
SourceHHS-OIG LEIE

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