DIOSA R BOHANNON
Medical Practice at Mango Ave, Saint Petersburg, FL

License number

Florida 14844

Issued Date

May 1, 1980

Effective Date

Oct 4, 1996

Expiration Date

Jun 30, 1988

Category

Health Care

Type

Clinical Laboratory Personnel

Address

Address

6710 Mango Ave S, Saint Petersburg, FL 33707

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