CLARK T BACALTOS
Nursing at Granger Ave, Modesto, CA

License number
Florida 9269218
Issued Date
Oct 8, 2007
Effective Date
May 15, 2013
Expiration Date
Apr 30, 2011
Category
Health Care
Type
Registered Nurse
Address
Address 2
601 W Granger Ave APT 186, Modesto, CA 95350
1983 SW 60Th Ter, Pompano Beach, FL 33068
Phone
(954) 993-5148
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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