BRUCE D WAGNER
Nursing at Benjamin Dr, Ormond Beach, FL

License number
Florida 4820
Issued Date
Feb 17, 2003
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
60 Benjamin Dr, Ormond Beach, FL 32176
Phone
(330) 753-7419
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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