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LARRY LEE BALLES — OIG Excluded Provider (SPANAWAY, WA, 1128b4)

LARRY LEE BALLES — OIG Excluded Provider (SPANAWAY, WA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LARRY LEE BALLES; Type: Individual; Provider category: DME COMPANY.

NameLARRY LEE BALLES
TypeIndividual
Provider categoryDME COMPANY
SpecialtyEMPLOYEE
CitySPANAWAY
StateWA
ZIP98387
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2007-10-18
SourceHHS-OIG LEIE

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