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MARIANNE ALDRIDGE — OIG Excluded Provider (YUCAIPA, CA, 1128b4)

MARIANNE ALDRIDGE — OIG Excluded Provider (YUCAIPA, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARIANNE ALDRIDGE; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameMARIANNE ALDRIDGE
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyFAMILY PRACTICE
NPI1336311000
CityYUCAIPA
StateCA
ZIP92399
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2014-08-20
SourceHHS-OIG LEIE

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