DE A FOULK
Nursing at Lk Julia Dr, Ponte Vedra, FL

License number
Florida 2608712
Issued Date
Aug 24, 1992
Effective Date
May 19, 2009
Expiration Date
Apr 30, 2007
Category
Health Care
Type
Registered Nurse
Address
Address 2
132 Lake Julia Dr N, Ponte Vedra, FL 32082
2224 Mirow Pl, Charlotte, NC 28270
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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