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STEPHANIE ANNE BENGE — OIG Excluded Provider (ENID, OK, 1128b4)

STEPHANIE ANNE BENGE — OIG Excluded Provider (ENID, OK, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: STEPHANIE ANNE BENGE; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameSTEPHANIE ANNE BENGE
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityENID
StateOK
ZIP73703
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2011-10-20
SourceHHS-OIG LEIE

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