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POLLY BAKKO — OIG Excluded Provider (OXBOW, ND, 1128b4)

POLLY BAKKO — OIG Excluded Provider (OXBOW, ND, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: POLLY BAKKO; Type: Individual; Provider category: SKILLED NURSING FAC.

NamePOLLY BAKKO
TypeIndividual
Provider categorySKILLED NURSING FAC
SpecialtyNURSE/NURSES AIDE
CityOXBOW
StateND
ZIP58047
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2003-07-20
SourceHHS-OIG LEIE

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