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JOHN DAVID BENNETT — OIG Excluded Provider (FRESNO, CA, 1128b4)

JOHN DAVID BENNETT — OIG Excluded Provider (FRESNO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JOHN DAVID BENNETT; Type: Individual; Provider category: PSYCHOLOGIC PRACTICE.

NameJOHN DAVID BENNETT
TypeIndividual
Provider categoryPSYCHOLOGIC PRACTICE
SpecialtyPSYCHOLOGY
CityFRESNO
StateCA
ZIP93720
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date1998-11-19
SourceHHS-OIG LEIE

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