ALLEGRA D FAIRWEATHER
Nursing at Carol Dr, Melbourne, FL

License number
Florida 78190
Issued Date
Oct 16, 1996
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
602 Carol Dr NE, Melbourne, FL 32907
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Allegra D Fairweather, age 78
602 Carol Dr, Palm Bay, FL 32907
(561) 951-1607
Allegra D Fairweather, age 78
602 Carol Dr NE, Palm Bay, FL 32907
(561) 951-1607
(321) 733-4395

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