DIANE L GRANTHAM
Nursing at State Rd 69, Blountstown, FL

License number
Florida 5153030
Issued Date
Apr 10, 2002
Effective Date
Aug 21, 2015
Expiration Date
Jul 31, 2015
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
19993 NE State Road 69, Blountstown, FL 32424
Phone
(850) 447-0201
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Diane Grantham, age 56
5710 SW 37Th Ct, Davie, FL 33314
Diane Grantham, age 56
5710 37Th Ct, Fort Lauderdale, FL 33314

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