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OIG exclusion detail

JUSTIN ANDERSON

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1245694041
Name
JUSTIN MICHAEL ANDERSON
Address
14601 S PLEASANT VALLEY RD, KUNA, ID, 83634
Specialty
CHIROPRACTIC
Exclusion type
1128a2
Exclusion date
20240620
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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