DOUGLAS J SOUTHARD
Nursing at Wasatch Ct, New Port Richey, FL

License number
Florida 2240
Issued Date
Jul 29, 2002
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
12412 Wasatch Ct, New Port Richey, FL 34654
Phone
(727) 857-9402
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Douglas Southard
9106 Park Richey Blvd, Port Richey, FL 34668
Douglas H Southard, age 64
2320 Daytona Ave, Flagler Beach, FL 32136

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