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OIG exclusion detail

JOHNNY STALLION

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

Imported OIG rowOfficial OIG source
NPI
1881038313
Name
JOHNNY STALLION
Address
P O BOX 7001, #49472-048, TAFT, CA, 93268
Specialty
COUNSELOR
Exclusion type
1128a1
Exclusion date
20160720
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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