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NICOLE P BAKER — OIG Excluded Provider (DERRY, NH, 1128b4)

NICOLE P BAKER — OIG Excluded Provider (DERRY, NH, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: NICOLE P BAKER; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameNICOLE P BAKER
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityDERRY
StateNH
ZIP03038
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2017-07-20
SourceHHS-OIG LEIE

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