DOREEN B BALLARD
Nursing at Brevard Ave, Cocoa Beach, FL

License number
Florida 5161969
Issued Date
Apr 13, 2004
Effective Date
Apr 27, 2009
Expiration Date
Jul 31, 2005
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
S Brevard Ave UNIT 428, Cocoa Beach, FL 32931
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Doreen B Ballard
428 Brevard Ave, Cocoa Beach, FL 32931
(321) 784-8080

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