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State Department official confirms Jacob Ostreicher has left BoliviaOstreicher hasn't spoken to his relatives but Sean Penn said that he escaped as part of a 'humanitarian operation' and is receiving medical helpBolivian government officials said they did not know if he had left country and are now suggesting he was kidnapped or escaped from lax securityOstreicher spent 18 months in Bolivian jail without chargeHe was released to house arrest a year ago after Penn made a public plea