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LAVENA R ABEITA — OIG Excluded Provider (WINSLOW, AZ, 1128b4)

LAVENA R ABEITA — OIG Excluded Provider (WINSLOW, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LAVENA R ABEITA; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameLAVENA R ABEITA
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityWINSLOW
StateAZ
ZIP86047
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2012-09-20
SourceHHS-OIG LEIE

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