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SALLY LYN BALLENTINE — OIG Excluded Provider (ARLINGTON, TX, 1128b4)

SALLY LYN BALLENTINE — OIG Excluded Provider (ARLINGTON, TX, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: SALLY LYN BALLENTINE; Type: Individual; Provider category: HOSPITAL.

NameSALLY LYN BALLENTINE
TypeIndividual
Provider categoryHOSPITAL
SpecialtyNURSE/NURSES AIDE
CityARLINGTON
StateTX
ZIP76006
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2006-10-19
SourceHHS-OIG LEIE

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