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MARTIN FRED BAIN — OIG Excluded Provider (LOMITA, CA, 1128b4)

MARTIN FRED BAIN — OIG Excluded Provider (LOMITA, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARTIN FRED BAIN; Type: Individual; Provider category: MEDICAL PRACTICE, MD.

NameMARTIN FRED BAIN
TypeIndividual
Provider categoryMEDICAL PRACTICE, MD
SpecialtyGENERAL PRACTICE/FP
CityLOMITA
StateCA
ZIP90717
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date1991-08-11
SourceHHS-OIG LEIE

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