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SHARON BACK — OIG Excluded Provider (MADISON, IN, 1128b4)

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

NameSHARON BACK
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityMADISON
StateIN
ZIP47250
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2016-10-20
SourceHHS-OIG LEIE

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