BRETT C BLAKE
Nursing at Russkin Ln, Palm Coast, FL

License number
Florida 5187458
Issued Date
Apr 28, 2009
Effective Date
Apr 28, 2009
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
30 Russkin Ln, Palm Coast, FL 32164
324 Wilder Blvd, Daytona Beach, FL 32114
Phone
(386) 986-0148
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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