DEIDRA J FAULKNER
Nursing at Shire Ln, Crestview, FL

License number
Florida 9211797
Issued Date
Jan 8, 2004
Effective Date
Apr 1, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
6219 Shire Ln, Crestview, FL 32536
Phone
(850) 682-5591

Personal information

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Name
Address
Phone
Deidra Faulkner, age 59
6219 Shire Ln, Crestview, FL 32536