ELLEN Z PROUTY
Medical Practice at Santa Rosa Blvd, Fort Walton Beach, FL

License number
Florida 14063
Issued Date
Dec 14, 1979
Effective Date
Jul 29, 1998
Expiration Date
Jun 30, 1996
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
940 Santa Rosa Blvd APT 2426, Fort Walton Beach, FL 32548

Personal information

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Name
Address
Phone
Ellen Prouty
1109 Beachview Dr NE, Fort Walton Beach, FL 32547
Ellen Prouty
91 Faron Cir, Gulf Breeze, FL 32561
Ellen Prouty
7408 Northpointe Blvd, Pensacola, FL 32514