OIG exclusion detail
ETIENNE BOUSSOUGOU
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1942568738
- Name
- ETIENNE BOUSSOUGOU
- Address
- 1514 MADISON ST, APT 101, HYATTSVILLE, MD, 20782
- Specialty
- HEALTH CARE AIDE
- Exclusion type
- 1128a1
- Exclusion date
- 20150820
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
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