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JACQUELINE M BEACH — OIG Excluded Provider (TUCSON, AZ, 1128b4)

JACQUELINE M BEACH — OIG Excluded Provider (TUCSON, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JACQUELINE M BEACH; Type: Individual; Provider category: NURSING PROFESSION.

NameJACQUELINE M BEACH
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityTUCSON
StateAZ
ZIP85743
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2005-12-20
SourceHHS-OIG LEIE

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