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MILDRED ARREDONDO — OIG Excluded Provider (BLACKWELL, OK, 1128b4)

MILDRED ARREDONDO — OIG Excluded Provider (BLACKWELL, OK, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MILDRED ARREDONDO; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameMILDRED ARREDONDO
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityBLACKWELL
StateOK
ZIP74631
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2015-04-20
SourceHHS-OIG LEIE

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