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OIG exclusion detail

C SULLIVAN

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Imported OIG rowOfficial OIG source
NPI
1407129588
Name
C STAN SULLIVAN
Address
4853 W 1125 S, CEDAR CITY, UT, 84720
Specialty
SOCIAL WORKER
Exclusion type
1128b4
Exclusion date
20241120
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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