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STEPHANIE LYNN ANDERSON — OIG Excluded Provider (BLOOMINGTON, IN, 1128a4)

STEPHANIE LYNN ANDERSON — OIG Excluded Provider (BLOOMINGTON, IN, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: STEPHANIE LYNN ANDERSON; Type: Individual; Provider category: NURSING PROFESSION.

NameSTEPHANIE LYNN ANDERSON
TypeIndividual
Provider categoryNURSING PROFESSION
SpecialtyNURSE/NURSES AIDE
CityBLOOMINGTON
StateIN
ZIP47404
Exclusion authority1128a4
Exclusion reasonFelony conviction relating to controlled substances
Exclusion date2004-08-19
SourceHHS-OIG LEIE

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