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KELLY ANN ABRAHAM — OIG Excluded Provider (TEMECULA, CA, 1128b4)

KELLY ANN ABRAHAM — OIG Excluded Provider (TEMECULA, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: KELLY ANN ABRAHAM; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameKELLY ANN ABRAHAM
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityTEMECULA
StateCA
ZIP92592
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2016-02-18
SourceHHS-OIG LEIE

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