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MARY ANN BALDWIN — OIG Excluded Provider (GULFPORT, MS, 1128b4)

MARY ANN BALDWIN — OIG Excluded Provider (GULFPORT, MS, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARY ANN BALDWIN; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameMARY ANN BALDWIN
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityGULFPORT
StateMS
ZIP39503
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2012-06-20
SourceHHS-OIG LEIE

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