DETRA M BENNETT
Nursing at Kingsley Ave, Orange Park, FL

License number
Florida 147241
Issued Date
Apr 19, 2007
Effective Date
Aug 21, 2013
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1800 Kingsley Ave APT 124, Orange Park, FL 32073
Pne St, Green Cove Springs, FL 32043
Phone
(904) 579-4220
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Detra Bennett, age 46
1800 Kingsley Ave APT 124, Orange Park, FL 32073
(904) 644-7616
Detra Bennett
800 Carol Dr, Green Cv Spgs, FL 32043
Detra M Bennett, age 46
832 Carol Dr, Green Cove Springs, FL 32043
Detra M Bennett, age 46
1624 Forbes St, Green Cove Springs, FL 32043
Detra Bennett
Jacksonville, FL
(904) 644-7616

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