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ROSE MARIE BAUSTIAN — OIG Excluded Provider (GLENDALE, AZ, 1128b4)

ROSE MARIE BAUSTIAN — OIG Excluded Provider (GLENDALE, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ROSE MARIE BAUSTIAN; Type: Individual; Provider category: NURSING PROFESSION.

NameROSE MARIE BAUSTIAN
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityGLENDALE
StateAZ
ZIP85301
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2007-10-18
SourceHHS-OIG LEIE

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