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Licenses
Medical Practice
Florida
14063
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
See more information about
ELLEN Z PROUTY at radaris.com
Name
Address
Phone
Ellen Prouty
1109 Beachview Dr NE, Fort Walton Beach, FL 32547
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91 Faron Cir, Gulf Breeze, FL 32561
Ellen Prouty
7408 Northpointe Blvd, Pensacola, FL 32514
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