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Profile Type	PERSON
Name	FAKAYATU IBIRONKE AGBOOLA
First Name	FAKAYATU
Middle Name	IBIRONKE
Last Name	AGBOOLA
Country	UNITED STATES
Birth Date	1964-03-16
Position	NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
First Seen	2024-05-08
Last Seen	2024-10-24
Last Change	2024-10-11
Npi Code	1306572821
Datasets	US HEALTH AND HUMAN SCIENCES INSPECTOR GENERAL EXCLUSIONS
Address	2209 SWAN LAKE CT, GRAYSON, GA 30017
Topics	DEBARRED ENTITY

Sanction Caption	US HHS OIG List of Excluded Individuals/Entities
Sanction Datasets	US Health and Human Sciences Inspector General Exclusions
Sanction First Seen	2024-05-08
Sanction Last Change	2024-06-23
Sanction Last Seen	2024-10-24
Sanction Properties	Authority: Department of Health and Human Services Office of Inspector General Start Date: 2024-01-18 Country: United States Entity: us-fed-excl-fakayatu-ibironke-agboola-30017-grayson Program: US HHS OIG List of Excluded Individuals/Entities Reason: 1128b4 Source URL: https://oig.hhs.gov/exclusions/index.asp

ID Number	RN750648 / PN292474
Title	RN/LPN
Profile Type	PERSON
Name	FAKAYATU I. AGBOOLA
First Name	FAKAYATU
Middle Name	I.
Last Name	AGBOOLA
Country	UNITED STATES
First Seen	2024-10-01
Last Seen	2024-10-25
Last Change	2024-10-11
Npi Code	1306572821
Datasets	US PENNSYLVANIA MEDICHECK LIST
Topics	DEBARRED ENTITY

Sanction Caption	Sanction
Sanction Datasets	US Pennsylvania Medicheck list
Sanction First Seen	2024-10-01
Sanction Last Change	2024-10-01
Sanction Last Seen	2024-10-25
Sanction Properties	Authority: Department of Human Services Start Date: 2024-01-18 Country: United States Entity: us-medpa-ed887b46d208fd9db842188a7058626e6996335b Source URL: https://www.pa.gov/en/agencies/dhs/report-fraud/medicheck-list.html Status: Precluded