ETHAN A FUQUAY
Medical Practice in Kingsley Lake, FL

License number
Florida 302166
Issued Date
Apr 10, 2001
Effective Date
Jul 18, 2013
Expiration Date
Dec 1, 2002
Category
Health Care
Type
Emergency Medical Technician
Address
Address
3 Rt 3 BOX 579, Kingsley Lake, FL 32091
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Ethan Fuquay
1536 Graduation Ln, Middleburg, FL 32068
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4120 82Nd St, Starke, FL 32091
Ethan Fuquay
4556 83Rd St, Starke, FL 32091

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