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OIG exclusion detail

JACQUESE WHITE

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

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
JACQUESE WHITE
Address
4279 WAGON TRAIL COVE, MEMPHIS, TN, 38109
Specialty
CLERK/OTHER CLERICAL
Exclusion type
1128a3
Exclusion date
20051220
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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