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KELLY MARIE BAUCOM — OIG Excluded Provider (AMELIA, OH, 1128a3)

KELLY MARIE BAUCOM — OIG Excluded Provider (AMELIA, OH, 1128a3) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: KELLY MARIE BAUCOM; Type: Individual; Provider category: NURSING PROFESSION.

NameKELLY MARIE BAUCOM
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityAMELIA
StateOH
ZIP45102
Exclusion authority1128a3
Exclusion reasonFelony conviction relating to health care fraud
Exclusion date2010-01-20
SourceHHS-OIG LEIE

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