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MARK S COLBURN, D D S, P C — OIG Excluded Provider (ST CLOUD, FL, 1128a1)

MARK S COLBURN, D D S, P C — OIG Excluded Provider (ST CLOUD, FL, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARK S COLBURN, D D S, P C; Type: Entity; Provider category: DENTAL PRACTICE.

NameMARK S COLBURN, D D S, P C
TypeEntity
Provider categoryDENTAL PRACTICE
CityST CLOUD
StateFL
ZIP34769
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date1993-07-08
SourceHHS-OIG LEIE

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