DIANA N BAGWELL
Medical Practice at M Lk Rd, Keystone Heights, FL

License number
Florida 68872
Issued Date
Jun 29, 1992
Effective Date
Jun 15, 2013
Expiration Date
Dec 1, 2012
Category
Health Care
Type
Emergency Medical Technician
Address
Address
4830 M Lake Rd, Keystone Heights, FL 32656
Phone
(352) 475-1024
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Diana N Bagwell, age 52
6310 Latchstring Rd, Melrose, FL 32666
(352) 475-1024

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