ELLEN A BLAKE
Nursing at Roberts Ln, New Smyrna, FL

License number
Florida 30292
Issued Date
Dec 4, 1996
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1069 Roberts Ln, New Smyrna, FL 32168
264 S Atlantic Ave, Ormond Beach, FL 32176
Phone
(386) 423-5107
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
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Ellen Blake
350 N Federal Hwy UNIT 1413, Boynton Beach, FL 33435
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363 Aragon Ave, Coral Gables, FL 33134
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22 Blue Grass Ter, Haines City, FL 33844
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5850 Sundown Cir, Orlando, FL 32822
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718 Conway Rd, Orlando, FL 32807

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