BRENT J LATAILLE
Nursing at 87 Pl, Largo, FL

License number
Florida 9261217
Issued Date
Apr 12, 2007
Effective Date
Jan 12, 2017
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
13541 87 Pl, Largo, FL 33776
Phone
(727) 488-5915
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Brent Lataille, age 41
13541 87Th Pl, Seminole, FL 33776
(727) 488-5915
Brent J Lataille
9440 56Th St, Pinellas Park, FL 33782

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